Active NPI
Albert Malakov, DDS
- General Practice Dentistry
- Elmhurst, NY
National Provider Identifier
1710058094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 046977-1
- Practice address
- 9123 Queens Blvd Ste B
Elmhurst, NY 11373-5559 - Phone
- (718) 205-2055
- Fax
- (718) 205-2355
- NPI assigned
- Nov 10, 2006
- Last updated
- Nov 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 046977-1 | NY | Primary |
Addresses
Primary practice location
9123 Queens Blvd Ste B
Elmhurst, NY 11373-5559
Mailing address
11223 68TH Ave
Forest Hills, NY 11375-2937
Phone (718) 997-8288
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046977-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tina Malakova Dental Services P.C. | Current | Accepting new patients | |
| Love My Smile Dental PC | Past | Accepting new patients | |
| Steinway Family Dental Center | Past | Accepting new patients |
Locations
9123 Queens Blvd
Ste B
Elmhurst, NY 11373
Phone (718) 205-2055
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Always Smile Dental
- Dental Clinic/Center
- Elmhurst, NY
- NPI 1194360271
-
- Dental Clinic/Center
- Elmhurst, NY
- NPI 1033613112
-
- Dentist
- Astoria, NY
- NPI 1619198249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1710058094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11223 68TH AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752937",
"telephone_number": "718-997-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9123 QUEENS BLVD STE B",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735559",
"telephone_number": "718-205-2055",
"fax_number": "718-205-2355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAKOV",
"first_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "046977-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.