Yelena Vaysman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046719 Issued in NY

Practice address

2424 Kings Hwy Apt 4F
4F
Brooklyn, NY 11229-1641

Phone

(718) 554-7798

Fax

(718) 795-4367

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1639224587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 KINGS HWY",
            "address_2": "4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291669",
            "telephone_number": "718-554-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 KINGS HWY APT 4F",
            "address_2": "4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291641",
            "telephone_number": "718-554-7798",
            "fax_number": "718-795-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYSMAN",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01714658",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Vaysman, DPT
• Mirra Vaysman, MS.RPH.
• Renata Vaysman, PH.D.
• Shelly Vaysman
• Victoria Vaysman, OTR/L
• Yury Vaysman, CFO
• Dorean Vayspiter, CASAC-T
• Steven Vaz, LCSW
• Suzanne Vaz
• Tara Deepak Vazirani, MD

• 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 Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.