Active NPI
Yulian Aminov, DDS
- General Practice Dentistry
- Rego Park, NY
National Provider Identifier
1538417332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 010859
- Practice address
- 9949 66TH Rd
Apt# 5a
Rego Park, NY 11374-4463 - Phone
- (212) 203-1611
- NPI assigned
- Aug 28, 2012
- Last updated
- Oct 16, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02511900 | NJ | |
| Dentist | 122300000X | 10859 | CT | |
| General Practice Dentistry | 1223G0001X | 010859 | CT | Primary |
Addresses
Primary practice location
9949 66TH Rd
Apt# 5a
Rego Park, NY 11374-4463
Mailing address
9949 66TH Rd
Apt# 5a
Rego Park, NY 11374-4463
Phone (212) 203-1611
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 |
|---|---|---|---|
| 22DI02511900 | NJ | MD | Dentist |
| 010859 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downtown Dental CT of West Haven PC | Current | Accepting new patients |
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- West Haven, CT
- NPI 1033971858
-
- General Practice Dentistry
- Norwalk, CT
- NPI 1639613771
-
- Dentist
- Stratford, CT
- NPI 1447165634
-
- General Practice Dentistry
- Bridgeport, CT
- NPI 1740626266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350345600000",
"number": "1538417332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9949 66TH RD",
"address_2": "APT# 5A",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744463",
"telephone_number": "212-203-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9949 66TH RD",
"address_2": "APT# 5A",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744463",
"telephone_number": "212-203-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMINOV",
"first_name": "YULIAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2012-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02511900",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "10859",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "010859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.