Sergey Litvinov, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044176 Issued in NY

Practice address

333 E 79TH St
Suite 1U
New York, NY 10021-0956

Phone

(212) 744-5544

Fax

(212) 744-5556

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Litvinov Dental LLC

  • General Practice Dentistry
  • New York, NY
  • NPI 1821162645
  Authorized official Same address or phone

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538250782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 BRUCE ST",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571803",
            "telephone_number": "646-522-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 79TH ST",
            "address_2": "SUITE 1U",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210956",
            "telephone_number": "212-744-5544",
            "fax_number": "212-744-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVINOV",
        "first_name": "SERGEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01346510",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Oleg Litvak, MD
• Harold Litvak, DMD
• Yuliya Litvak, RPA-C
• Anna Litvin, RPA-C
• Litvinov Dental LLC
• Alla V Litvinova, DDS
• Iryna Litvinova, LMSW
• Karina Litvinova, MD
• Larisa Litvinova
• Marina Litvinova, MSW

• General Practice Dentistry in New York, NY
• Providers in New York, 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 Jul 8, 2007; 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.