Gennady Dranovsky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048454 Issued in NY

Practice address

2101 Bay Ridge Pkwy
Brooklyn, NY 11204-5955

Phone

(718) 232-6996

NPI assigned

Apr 12, 2007

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Oral Surgery

Education

New York University College of Dentistry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ready Smile Dental PCGroup PAC ID 2769927508, 3 clinicians

Fusion Dental, P.C.Group PAC ID 4587997317, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fusion Dental, P.C.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1073076980
  Medicare reassignment Care Compare group NPD
• Ready Smile Dental PC

  • Dentist
  • Brooklyn, NY
  • NPI 1952141723
  Medicare reassignment Care Compare group NPD
• Up Dental PLLC

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1225290547
  Medicare reassignment NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1639393754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BRIGHTON BEACH AVE APT 1-0",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045955",
            "telephone_number": "718-232-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRANOVSKY",
        "first_name": "GENNADY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenisha Drake
• Kimberlea Drake
• Macy Drake
• Keith Drakes
• Dmitry Borisovich Dran
• Vladimir Dranovsky, DDS
• Tonya Draper, MSW
• Elena Drapkin, OTR/L, MS
• Martin Drasin, DC & RPH
• Julia Dawn Drattell, PHD, ATC

• 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 Dec 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.