Individual provider Active NPI

Alexandra Yungelson, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1720371222
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055740 Issued in NY
Practice address
2741 E 28TH St
Apartment 3F
Brooklyn, NY 11235-2453
Phone
(516) 852-5386
NPI assigned
May 17, 2011
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02470300 NJ
General Practice Dentistry 1223G0001X 010512 CT
General Practice Dentistry 1223G0001X 055740 NY Primary

Addresses

Primary practice location

2741 E 28TH St
Apartment 3F
Brooklyn, NY 11235-2453

Mailing address

200 W 15TH St Unit 1a
New York, NY 10011-6658
Phone (212) 201-0766

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

LicenseStateTypeSpecialty
010512CTMDGeneral Practice Dentistry
22DI02470300NJMDGeneral Practice Dentistry
055740NYMDPharmacist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1720371222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 15TH ST UNIT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116658",
            "telephone_number": "212-201-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 E 28TH ST",
            "address_2": "APARTMENT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352453",
            "telephone_number": "516-852-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNGELSON",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02470300",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010512",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.