Individual provider Active NPI

Julia Nosov, DDS

  • General Practice Dentistry
  • Wantagh, NY
National Provider Identifier
1720207566
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052808 Issued in NY
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

Updated by the provider on Feb 28, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601000295 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7113217357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052808NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nosov Family Dental PC CurrentSince Feb 2, 2025 Accepting new patients
Smiley Faces Dentistry PC Current Accepting new patients
Nassau Dental PC General Practice PastSince May 31, 2011 Accepting new patients
All Nassau Dental PC General Practice PastSince Jan 19, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.