Leonid Nashtatik

Primary specialty

DentistTaxonomy code 122300000X

License

058315-1 Issued in NY

Practice address

719 W 181St St
New York, NY 10033

Phone

(212) 795-1040

NPI assigned

Apr 19, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nash Dental P.C.

  • Dental Clinic/Center
  • Brooklyn, NY
  • NPI 1528621588
  NPD Authorized official
• Nash Dental P.C.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1609656891
  NPD Authorized official
• Heights Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1285645051
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1457795577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-795-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASHTATIK",
        "first_name": "LEONID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058315-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Nash, MD
• Trevor Ray Nash, MD, PHD
• Motaz Billah Nashawaty, MD
• Jerold David Nashban, LP
• Thomas H Nashed
• Nasiha Counseling
• Mustafa Nasir-Moin
• Israa Nasir, MHC
• Meera Kesavan Nasir, MD
• Shirley Nasirov, DPT

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.