Ez Sleep Ny LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EZ SLEEP NY LLC

Practice address

1009 Brighton Beach Ave Ste 2
Brooklyn, NY 11235-5621

Phone

(718) 975-8500

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Marina Rusanov

Title

Clinical Manager

Phone

(215) 785-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1629678594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NEBRASKA AVE UNIT C1",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190563333",
            "telephone_number": "215-785-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BRIGHTON BEACH AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355621",
            "telephone_number": "718-975-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ SLEEP NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "RUSANOV",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "215-785-1100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 29, 2020; 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.