Individual provider Active NPI

Aleksander Iofin, D.M.D.

  • Endodontics
  • New York, NY
National Provider Identifier
1558418509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
049609 Issued in NY
Practice address
630 Fifth Avenue # 1863
New York, NY 10111
Phone
(212) 757-1000
Fax
(212) 757-0888
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 049609 NY Primary

Addresses

Primary practice location

630 Fifth Avenue # 1863
New York, NY 10111

Mailing address

630 Fifth Avenue # 1863
New York, NY 10111
Phone (212) 757-1000

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

LicenseStateTypeSpecialty
049609NYMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558418509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FIFTH AVENUE # 1863",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10111",
            "telephone_number": "212-757-1000",
            "fax_number": "212-757-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FIFTH AVENUE # 1863",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10111",
            "telephone_number": "212-757-1000",
            "fax_number": "212-757-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOFIN",
        "first_name": "ALEKSANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "049609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • 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.