Active NPI
Jay Lawrence Kabinoff, D.M.D.
- Dentist
- Albany, NY
National Provider Identifier
1497880983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 045784-1
- Practice address
- 1465 A Western Ave
Albany, NY 12203-3512 - Phone
- (518) 458-1892
- Fax
- (518) 438-6764
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 045784-1 | NY | Primary |
Addresses
Primary practice location
1465 A Western Ave
Albany, NY 12203-3512
Mailing address
1465A Western Ave
Albany, NY 12203-3512
Phone (518) 458-1892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045784-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1497880983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465A WESTERN AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033512",
"telephone_number": "518-458-1892",
"fax_number": "518-438-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 A WESTERN AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033512",
"telephone_number": "518-458-1892",
"fax_number": "518-438-6764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABINOFF",
"first_name": "JAY",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "045784-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.