Ny1Dental Associated P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

047422 Issued in NY

Legal business name

NY1DENTAL ASSOCIATED P.C.

Practice address

1214 Coney Island Ave
Dental
Brooklyn, NY 11230-2912

Phone

(718) 258-8222

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sevil Pinkhasov, DDS

Title

Owner

Phone

(718) 258-8222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1497926257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 CONEY ISLAND AVE",
            "address_2": "DENTAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302912",
            "telephone_number": "718-258-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 CONEY ISLAND AVE",
            "address_2": "DENTAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302912",
            "telephone_number": "718-258-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY1DENTAL ASSOCIATED P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "PINKHASOV",
        "authorized_official_first_name": "SEVIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-258-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01899343",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.