Pediatric Dental and Associates of Brooklyn PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

047701 Issued in NY

Legal business name

PEDIATRIC DENTAL AND ASSOCIATES OF BROOKLYN PC

Practice address

2464 Coney Island Ave
2ND Floor
Brooklyn, NY 11223-5022

Phone

(718) 998-2424

Fax

(718) 998-9042

NPI assigned

Mar 2, 2016

Last updated

Mar 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yury Slepak, D.D.S

Title

President

Phone

(718) 998-2424

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yelena Gofman, DDS

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1518226919
  NPD (past)

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1568822732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 CONEY ISLAND AVENUE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "718-998-2424",
            "fax_number": "718-998-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 CONEY ISLAND AVE",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235022",
            "telephone_number": "718-998-2424",
            "fax_number": "718-998-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL AND ASSOCIATES OF BROOKLYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SLEPAK",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-998-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "047701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedia-Care Physicians, PLLC
• Pediacare Physicians PLLC
• Pediatric Associates of Brooklyn, LLP
• Pediatric Care
• Pediatric Care of Newyork PC
• Pediatric Dental Associates PC
• Pediatric Dental Associates, PC
• Pediatric Dentistry of Boro Park PLLC
• Pediatric Dentistry of Brooklyn PLLC
• Pediatric Dentistry Under Ga (Sedation Pediatric Dentistry)

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.