Roman Trakhtenberg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048697 Issued in NY

Practice address

1825 Foster Ave Ste 1B
Brooklyn, NY 11230-1848

Phone

(718) 434-4400

Fax

(888) 371-1841

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Roman Trakhtenberg DDS PLLC

  • Dentist
  • New York, NY
  • NPI 1447705686
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1528280245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 81ST ST",
            "address_2": "APT 6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287095",
            "telephone_number": "917-715-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FOSTER AVE STE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301848",
            "telephone_number": "718-434-4400",
            "fax_number": "888-371-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAKHTENBERG",
        "first_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048697",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03047927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Trainer
• Eugene Barry Trainin, M.D.
• Deborah A Trainor
• Tiffany Marie Trainor, LMSW
• Gregory Trakhtenberg, M.S., P.T.
• Alexander Trakhtman, M.D.
• Kelly Tram, DO
• Bansi Dilipkumar Trambadia, M.D
• Mary Tramontin, PSY.D.
• Aimy Tran, SLP

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.