Ocean Ave Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044283 Issued in NY

Legal business name

OCEAN AVE FAMILY DENTAL PC

Practice address

2001 Avenue P Apt A4
Brooklyn, NY 11229-1420

Phone

(718) 951-2261

Fax

(718) 951-2018

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Iosif Uvaydov, 044283

Title

Owner

Phone

(718) 951-2261

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1649526294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 AVENUE P APT A4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291420",
            "telephone_number": "718-951-2261",
            "fax_number": "718-951-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 AVENUE P APT A4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291420",
            "telephone_number": "718-951-2261",
            "fax_number": "718-951-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN AVE FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "UVAYDOV",
        "authorized_official_first_name": "IOSIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-951-2261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "044283"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ocean Avenue Medical Practice, PC
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• 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 Aug 1, 2012; 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.