Sergey Yangolenko, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055766 Issued in NY

Practice address

1818 Ocean Ave Apt 1P
Brooklyn, NY 11230-6266

Phone

(718) 645-0200

Fax

(718) 645-0200

NPI assigned

Sep 20, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Tribeca Dental Clinique

  • General Practice Dentistry
  • New York, NY
  • NPI 1942452396
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1669668844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 OCEAN AVE APT 1P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306266",
            "telephone_number": "718-645-0200",
            "fax_number": "718-645-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 OCEAN AVE APT 1P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306266",
            "telephone_number": "718-645-0200",
            "fax_number": "718-645-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Chambers St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100071332",
            "country_code": "US",
            "telephone_number": "212-587-0000",
            "fax_number": "212-587-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Ocean Ave Apt 1P",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11230",
            "country_code": "US",
            "telephone_number": "718-645-0200",
            "fax_number": "718-645-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANGOLENKO",
        "first_name": "SERGEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03451154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zhao Yang
• Zhaonan Yang
• Zhenyi Yang, LMHC
• Zongfang Yang, NP
• Zarina Yangibayeva
• Yanina Etlis DO PC
• Yanina Kovler, M.D., P.C.
• Yanina Kovler, M.D.,P.C
• Kaydene Yankana
• Brent Vincent Yanke, M.D.

• 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 5, 2019; 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.