David Jakubowitz DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050068 Issued in NY

Legal business name

DAVID JAKUBOWITZ DDS PC

Practice address

2939 Avenue Y
Brooklyn, NY 11235-1657

Phone

(718) 648-5500

Fax

(718) 648-5501

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

David Jakubowitz, D.D.S.

Title

President

Phone

(718) 648-5500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1619208782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 AVENUE Y",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351657",
            "telephone_number": "718-648-5500",
            "fax_number": "718-648-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 AVENUE Y",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351657",
            "telephone_number": "718-648-5500",
            "fax_number": "718-648-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JAKUBOWITZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "JAKUBOWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-648-5500",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02374909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 28, 2010; 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.