Individual provider Active NPI

Myroslava Vasylivna Kavaka

  • Student in an Organized Health Care Education/Training Program
  • Brooklyn, NY
National Provider Identifier
1548806995
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
760 Broadway, Room 2C319
Department of Dentistry/Attention M.Rodriguez
Brooklyn, NY 11206
Phone
(718) 963-8310
Fax
(718) 630-3244
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

760 Broadway, Room 2C319
Department of Dentistry/Attention M.Rodriguez
Brooklyn, NY 11206

Mailing address

760 Broadway, Room 2C319
Department of Dentistry/Attention M.Rodriguez
Brooklyn, NY 11206
Phone (718) 963-8310

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

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1548806995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BROADWAY, ROOM 2C319",
            "address_2": "DEPARTMENT OF DENTISTRY/ATTENTION M.RODRIGUEZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-963-8310",
            "fax_number": "718-630-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY, ROOM 2C319",
            "address_2": "DEPARTMENT OF DENTISTRY/ATTENTION M.RODRIGUEZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-963-8310",
            "fax_number": "718-630-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVAKA",
        "first_name": "MYROSLAVA",
        "middle_name": "VASYLIVNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.