Imanuel Babayev

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

010626 Issued in CT

Practice address

148 East Ave Ste 3H1
Norwalk, CT 06851-5721

Phone

(718) 666-6664

NPI assigned

Jun 30, 2011

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Advanced Dental Care of Nyc PC

  • Dentist
  • Brooklyn, NY
  • NPI 1184940611
  Medicare reassignment NPD
• Brighter Smiles Family Dentistry, P.C.

  • General Practice Dentistry
  • Mahopac, NY
  • NPI 1003190661

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD
• Oral Maxillofacial Surgery Fairfield County LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Norwalk, CT
  • NPI 1699210922
  NPD (past) Authorized official

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1477840270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVE STE 3H1",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "718-666-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE STE 3H1",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "718-666-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAYEV",
        "first_name": "IMANUEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "0570451",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "010626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azeem Azhar
• Umair Azhar, MD
• Godfrey Azima
• Olawale Amos Babalola, MD
• James E Babashak, MD
• Anthony Babigian, DPM
• Jennifer Mary Bach, CNM
• Back and Neck Care of Connecticut, L.L.C.
• Jennifer Joanna Baculima
• Rachel Mackenzie Bagdasarian, PT, DPT

• Oral and Maxillofacial Surgery (Dentist) in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.