Organization Active NPI

Preferred Dental Care P.C.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1679789341
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PREFERRED DENTAL CARE P.C.
Practice address
2423 Mermaid Ave
Brooklyn, NY 11224-2256
Phone
(718) 373-0300
Fax
(718) 373-0570
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Mrs. Nataliya A Berger, D.D.S
Title
President
Phone
(718) 373-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2423 Mermaid Ave
Brooklyn, NY 11224-2256

Mailing address

2423 Mermaid Ave
Brooklyn, NY 11224-2256
Phone (718) 373-0300

Other identifiers 1

IdentifierTypeStateIssuer
02705640MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Preferred Dental Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1679789341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242256",
            "telephone_number": "718-373-0300",
            "fax_number": "718-373-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242256",
            "telephone_number": "718-373-0300",
            "fax_number": "718-373-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "NATALIYA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-373-0300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02705640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.