Albert Eliav, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

046658 Issued in NY

Practice address

203 Nassau Ave
Brooklyn, NY 11222

Phone

(718) 383-1270

Fax

(718) 383-1271

NPI assigned

Feb 6, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Air Touch Dental Brothers PC

  • Dentist
  • Brooklyn, NY
  • NPI 1417074576
  NPD (past) Authorized official

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1629256276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NASSAU AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11222",
            "telephone_number": "718-383-1270",
            "fax_number": "718-383-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NASSAU AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11222",
            "telephone_number": "718-383-1270",
            "fax_number": "718-383-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAV",
        "first_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01682333",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Elias
• Simone Elias
• Taylor Paige Elias
• Zamira Elias/Brooks
• Joseph Eliashvili, MEDICAL DOCTOR
• Igor Eliav, DDS
• Rachel Eliav
• Radion Eliav, DDS
• Shayna Eliav, CNM
• Meital Eliazarov Kaikov, OTR

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.