Individual provider Active NPI

Masha Raykhman, D.M.D

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1700279981
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
058528 Issued in NY
Practice address
500A Atlantic Ave # 2
Brooklyn, NY 11217-1813
Phone
(949) 280-8105
NPI assigned
Mar 11, 2015
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 058528 NY Primary

Addresses

Primary practice location

500A Atlantic Ave # 2
Brooklyn, NY 11217-1813

Mailing address

500A Atlantic Ave # 2
Brooklyn, NY 11217-1813
Phone (949) 280-8105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
058528NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1700279981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500A ATLANTIC AVE # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171813",
            "telephone_number": "949-280-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500A ATLANTIC AVE # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171813",
            "telephone_number": "949-280-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYKHMAN",
        "first_name": "MASHA",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058528",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 27, 2018; 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.