Active NPI
Pediatric Dental Associates PC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1730775743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PEDIATRIC DENTAL ASSOCIATES PC
- Practice address
- 2120 Ocean Ave
Brooklyn, NY 11229-1426 - Phone
- (718) 645-1588
- NPI assigned
- Dec 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Elan Kaufman, DDS
- Title
- Owner
- Phone
- (646) 644-9969
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
2120 Ocean Ave
Brooklyn, NY 11229-1426
Mailing address
2120 Ocean Ave
Brooklyn, NY 11229-1426
Phone (718) 645-1588
Other practice location 1
3731 103rd St
Corona, NY 11368-3379
Phone (718) 507-1500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1730775743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291426",
"telephone_number": "718-645-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 OCEAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291426",
"telephone_number": "718-645-1588"
}
],
"practiceLocations": [
{
"address_1": "3731 103rd St",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "NY",
"postal_code": "113683379",
"country_code": "US",
"telephone_number": "718-507-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEDIATRIC DENTAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-14",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "ELAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-644-9969",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Pediacare Physicians PLLC
- Pediatric Associates of Brooklyn, LLP
- Pediatric Care
- Pediatric Care of Newyork PC
- Pediatric Dental and Associates of Brooklyn PC
- Pediatric Dental Associates, PC
- Pediatric Dentistry of Boro Park PLLC
- Pediatric Dentistry of Brooklyn PLLC
- Pediatric Dentistry Under Ga
- Pediatric Occupational Therapy Services of Brooklyn, P.C.45
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.