NPIMap

Organization Active NPI

Serenity Dental of Bay Ridge PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1700658127
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SERENITY DENTAL OF BAY RIDGE PC
Doing business as
Serenity Laser Dental Of Bay Ridge PC
Practice address
479 Bay Ridge Pkwy Unit 2C
Brooklyn, NY 11209-2725
Phone
(718) 989-0601
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Maya Krivelevich
Title
Office Manager
Phone
(732) 586-9574

Specialties & licenses 1

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

Addresses

Primary practice location

479 Bay Ridge Pkwy Unit 2C
Brooklyn, NY 11209-2725

Mailing address

479 Bay Ridge Pkwy Unit 2C
Brooklyn, NY 11209-2725
Phone (718) 989-0601

Other names 1

  • Serenity Laser Dental Of Bay Ridge PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Serenity Dental of Bay Ridge 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1700658127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 BAY RIDGE PKWY UNIT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092725",
            "telephone_number": "718-989-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 BAY RIDGE PKWY UNIT 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092725",
            "telephone_number": "718-989-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DENTAL OF BAY RIDGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "KRIVELEVICH",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-586-9574"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Laser Dental Of Bay Ridge PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 30, 2023; 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.