Individual provider Active NPI

Daniel Bernstein

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1720126188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038038 Issued in NY
Practice address
1997 Ocean Ave
Brooklyn, NY 11230-7335
Phone
(718) 339-6000
Fax
(718) 339-3187
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 038038 NY Primary

Addresses

Primary practice location

1997 Ocean Ave
Brooklyn, NY 11230-7335

Mailing address

1997 Ocean Ave
Brooklyn, NY 11230-7335
Phone (718) 339-6000

Other identifiers 1

IdentifierTypeStateIssuer
00802011MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160104001485 NY Practitioner - Oral Surgery 6709191471 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038038NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dentistry Vas of Brooklyn, PLLC PastSince Sep 5, 2023 Accepting new patients
Modern Dentistry General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720126188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307335",
            "telephone_number": "718-339-6000",
            "fax_number": "718-339-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307335",
            "telephone_number": "718-339-6000",
            "fax_number": "718-339-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00802011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.