Individual provider Active NPI

Barry Jay Hecht, D.M.D.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1508081779
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040606 Issued in NY
Practice address
1801 Avenue M
Brooklyn, NY 11230-5346
Phone
(718) 252-8989
Fax
(718) 641-4548
NPI assigned
Apr 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 040606 NY Primary

Addresses

Primary practice location

1801 Avenue M
Brooklyn, NY 11230-5346

Mailing address

1801 Avenue M
Brooklyn, NY 11230-5346
Phone (718) 252-8989

Other identifiers 1

IdentifierTypeStateIssuer
01426993MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160405000016 NY Practitioner - Oral Surgery 3577860618 Practice locations: Ozone Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040606NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Korngold DDS PLLC CurrentSince Jan 26, 2020 Accepting new patients
Michael Bernfeld DDS Michael Korngold DDS PastSince Jan 26, 2020 Accepting new patients
Ozone Park Quality Care Medicine PLLC PastSince Jun 1, 2018 Accepting new patients

Locations

1801 Avenue M
Brooklyn, NY 11230
Phone (718) 252-8989

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1508081779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305346",
            "telephone_number": "718-252-8989",
            "fax_number": "718-641-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 AVENUE M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305346",
            "telephone_number": "718-252-8989",
            "fax_number": "718-641-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECHT",
        "first_name": "BARRY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01426993",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.