Neptune Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

047128 Issued in NY

Legal business name

NEPTUNE DENTAL PC

Practice address

2875 W 8TH St
Brooklyn, NY 11224-3632

Phone

(718) 714-5900

Fax

(718) 714-5378

NPI assigned

Dec 5, 2005

Organization subpart

No

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

Authorized official

Name

Victor Sanin, DDS

Title

President of PC

Phone

(718) 714-5900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679557409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 W 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243632",
            "telephone_number": "718-714-5900",
            "fax_number": "718-714-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 W 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243632",
            "telephone_number": "718-714-5900",
            "fax_number": "718-714-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPTUNE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANIN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT OF PC",
        "authorized_official_telephone_number": "718-714-5900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017G8170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Nepo
• Innesa Nepo
• Asya Nepomnyashchiy
• Marina Nepotu, MD
• Neptune Dental Associates PC
• Neptune Medical & Surgical Supply, Inc.
• Neptune Medical Services P.C.
• Neptune Pharmacy,Inc
• Diana Neptune, RN
• Kathia Neptune

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.