Active NPI
Vera Heifetz-Khrakovsky, DDS
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1740377233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 049026
- Practice address
- 821 Manhattan Ave
Brooklyn, NY 11222-6323 - Phone
- (718) 383-1160
- Fax
- (718) 349-7352
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 049026 | NY | Primary |
Addresses
Primary practice location
821 Manhattan Ave
Brooklyn, NY 11222-6323
Mailing address
821 Manhattan Ave
Brooklyn, NY 11222-6323
Phone (718) 383-1160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CIGNA 049026 | Other | NY | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049026 | NY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740377233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 MANHATTAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112226323",
"telephone_number": "718-383-1160",
"fax_number": "718-349-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 MANHATTAN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112226323",
"telephone_number": "718-383-1160",
"fax_number": "718-349-7352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIFETZ-KHRAKOVSKY",
"first_name": "VERA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "049026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "CIGNA 049026",
"state": "NY"
}
],
"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 Jul 8, 2007; 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.