Active NPI
Roman Aronov, DDS
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1659935773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 061266
- Practice address
- 13614 Northern Blvd Ste a
Flushing, NY 11354-6511 - Phone
- (718) 445-7030
- NPI assigned
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 061266 | NY | Primary |
Addresses
Primary practice location
13614 Northern Blvd Ste a
Flushing, NY 11354-6511
Mailing address
11714 85TH Ave Apt B1
Richmond Hill, NY 11418-1816
Phone (917) 513-6431
Other practice location 1
1485 1st Ave
New York, NY 10075-1363
Phone (212) 535-4199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061266 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 888 Dental P.C. | Current | Accepting new patients | |
| Flushing Family Dental Care, P.C. | General Practice | Past | Accepting new patients |
| Dental Implant Solutions of New York | General Practice | Past | Accepting new patients |
| Island Dental Associates | Past | Accepting new patients |
Locations
13614 Northern Blvd
Ste A
Flushing, NY 11354
Phone (718) 445-7030
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Flushing, NY
- NPI 1730849332
-
- General Practice Dentistry
- Franklin Square, NY
- NPI 1386061083
-
- General Practice Dentistry
- Flushing, NY
- NPI 1124172853
-
- Dentist
- Franklin Square, NY
- NPI 1750557609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1659935773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11714 85TH AVE APT B1",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114181816",
"telephone_number": "917-513-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13614 NORTHERN BLVD STE A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546511",
"telephone_number": "718-445-7030"
}
],
"practiceLocations": [
{
"address_1": "1485 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100751363",
"country_code": "US",
"telephone_number": "212-535-4199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARONOV",
"first_name": "ROMAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-24",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "061266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.