Organization Active NPI

Nova Dental Care of Brookly, P.C.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1639300031
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0537231 Issued in NY
Legal business name
NOVA DENTAL CARE OF BROOKLY, P.C.
Practice address
2233 Caton Ave
Ground Floor
Brooklyn, NY 11226-2584
Phone
(718) 282-0077
Fax
(718) 282-9363
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Dr. Konrad Wiktorzak, D.D.S.
Title
Dentist
Phone
(718) 282-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 0537231 NY Primary

Addresses

Primary practice location

2233 Caton Ave
Ground Floor
Brooklyn, NY 11226-2584

Mailing address

2233 Caton Ave
Ground Floor
Brooklyn, NY 11226-2584
Phone (718) 282-0077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1639300031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 CATON AVE",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262584",
            "telephone_number": "718-282-0077",
            "fax_number": "718-282-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 CATON AVE",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262584",
            "telephone_number": "718-282-0077",
            "fax_number": "718-282-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DENTAL CARE OF BROOKLY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "WIKTORZAK",
        "authorized_official_first_name": "KONRAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-282-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0537231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.