Mikhail Abramov

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058052 Issued in NY

Practice address

8912 Aubrey Ave
Glendale, NY 11385-7930

Phone

(917) 459-8368

NPI assigned

Feb 18, 2015

Last updated

Jul 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Practice roles

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.

• M.a. Dental Services of Ny PLLC

  • Dental Clinic/Center
  • West Hempstead, NY
  • NPI 1982496956
  NPD Authorized official
• Mikhail Abramov Dental PC

  • Dental Clinic/Center
  • Ozone Park, NY
  • NPI 1881372662
  NPD Authorized official

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1710378393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 AUBREY AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 AUBREY AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857930",
            "telephone_number": "917-459-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMOV",
        "first_name": "MIKHAIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058052",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 79 Expressrx Inc
• Aaa Durable Medicalequipment Inc
• Ramon Abad
• Stacy Abate
• Salwa Abdelmalak
• Cindy Beth Adair-Brodwin, PH.D.
• Christina Adrien
• Advanced Pharmacy Inc
• Advanced Pharmacy One Inc
• Juliet Agadi, M.A.,CCC-SLP

• General Practice Dentistry in Glendale, NY
• Providers in Glendale, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.