Yevgeny Avdeychik, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

044215 Issued in NY

Practice address

1810 Jerome Ave
1 Floor
Brooklyn, NY 11235-3621

Phone

(718) 646-0900

Fax

(718) 769-9723

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1689655482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 JEROME AVE",
            "address_2": "1 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353621",
            "telephone_number": "718-646-0900",
            "fax_number": "718-769-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 JEROME AVE",
            "address_2": "1 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353621",
            "telephone_number": "718-646-0900",
            "fax_number": "718-769-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVDEYCHIK",
        "first_name": "YEVGENY",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01354269",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135Y269",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amit Avaragollapuravarga Mathada, MBBS
• Kim Terese Avarello
• Jimmy N Avari, MD
• Avdeychik Corp.
• Tatyana Avdeychik, DDS
• Majlinda Avdiu, DC
• Ave J Medical PC
• Ave J Royal Care Pharmacy LLC
• Ave J Royal Care Pharmacy LLC
• Ave M Chemist LLC

• All providers in Brooklyn, NY
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.