Rena Kravitz, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

037837-1 Issued in NY

Practice address

4303 13TH Ave
Brooklyn, NY 11219-1337

Phone

(718) 871-9111

Fax

(718) 871-9097

NPI assigned

Sep 27, 2005

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: renakravitz@mai.allscriptsdirect.net
• Direct secure messaging: rena.kravitz.p1@direct.mmc.nextgenshare.com

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.

• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1699761411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 E 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306607",
            "telephone_number": "718-376-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191337",
            "telephone_number": "718-871-9111",
            "fax_number": "718-871-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "RENA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "037837-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01158561",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Snezhana Kravets, SLP-CF
• Victoria Kravets, MS., OTR/L
• Yanina Kravets, DDS
• Ilya Kravetskiy
• Elana Sara Kravitz
• Aleksandr Kravtsov, M.D., D.O.
• Julia Kravtsova, PHARMD
• Yana Kravtsova, RPH
• Kelsey Rose Krawiec
• Rebecca Krawiecz

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.