Active NPI
Julia Nosov, DDS
- General Practice Dentistry
- Wantagh, NY
National Provider Identifier
1720207566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 052808
- Practice address
- 3305 Jerusalem Ave
Wantagh, NY 11793-2028 - Phone
- (516) 826-3300
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 052808 | NY | Primary |
Addresses
Primary practice location
3305 Jerusalem Ave
Wantagh, NY 11793-2028
Mailing address
91 Clinton St
Hempstead, NY 11550-4211
Phone (716) 628-4970
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160601000295 | NY | Order and Referring Only - Oral Surgery | 7113217357 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052808 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nosov Family Dental PC | Current | Accepting new patients | |
| Smiley Faces Dentistry PC | Current | Accepting new patients | |
| Nassau Dental PC | General Practice | Past | Accepting new patients |
| All Nassau Dental PC | General Practice | Past | Accepting new patients |
Locations
3305 Jerusalem Ave
Wantagh, NY 11793
Phone (516) 785-0323
Organizations & group practices 4
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.
-
- Pediatric Dentistry
- Wantagh, NY
- NPI 1871306654
-
- Pediatric Dentistry
- Corona, NY
- NPI 1255137436
-
- General Practice Dentistry
- Hempstead, NY
- NPI 1902617244
-
- General Practice Dentistry
- Hempstead, NY
- NPI 1235402785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1720207566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 CLINTON ST",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115504211",
"telephone_number": "716-628-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3305 JERUSALEM AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932028",
"telephone_number": "516-826-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOSOV",
"first_name": "JULIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wantagh, NY
- North Shore Child and Family Guidance Center
- North Shore Medical Group of the Mount Sinai School of Medicine
- Northland Hearing Centers, Inc.
- Olena Nosaryeva, RN
- Nosov Family Dental PC
- Michael Nosov, DDS
- Nova Family Health NP, PC
- Jeffrey S. Novak, M.D.
- Danielle Nuccio, MS, CCC-SLP, TSHH
- Gabriel Nunez, MHC-LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.