Individual provider Active NPI

Izabella Belenkiy, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1821142225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048344 Issued in NY
Practice address
10 Plaza St E
Suite 1F
Brooklyn, NY 11238-4954
Phone
(718) 622-8020
Fax
(718) 622-8030
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 048344 NY Primary

Addresses

Primary practice location

10 Plaza St E
Suite 1F
Brooklyn, NY 11238-4954

Mailing address

10 Plaza St E
Suite 1F
Brooklyn, NY 11238-4954
Phone (718) 622-8020

Other identifiers 1

IdentifierTypeStateIssuer
02063858MedicaidNY

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
I20160708000001 NY Order and Referring Only - DentistPractitioner - Dentist 4880986058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048344NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Belenkiy Dental P.C. General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821142225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLAZA ST E",
            "address_2": "SUITE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384954",
            "telephone_number": "718-622-8020",
            "fax_number": "718-622-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLAZA ST E",
            "address_2": "SUITE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384954",
            "telephone_number": "718-622-8020",
            "fax_number": "718-622-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELENKIY",
        "first_name": "IZABELLA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02063858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.