Nadia Poustovoit, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050852 Issued in NY

Practice address

1502 E 14TH St
Brooklyn, NY 11230-7283

Phone

(718) 709-4611

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dentist

Education

City University of New York School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ready Smile Dental PCGroup PAC ID 2769927508, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ready Smile Dental PC

  • Dentist
  • Brooklyn, NY
  • NPI 1952141723
  Medicare reassignment Care Compare group NPD Authorized official
• Up Dental PLLC

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1225290547
  Medicare reassignment NPD Authorized official
• Ready Smile Dental P.C.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1144059890
  NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1831117860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 BERGEN CT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-241-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307283",
            "telephone_number": "718-709-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2499 Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "brooklyn",
            "state": "NY",
            "postal_code": "11229",
            "country_code": "US",
            "telephone_number": "718-743-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POUSTOVOIT",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02427049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana Poulard
• Samantha Poulis
• Lena Poulos
• Jessica M Pournaras, CD
• Bahar Pourshariati, MD
• Valer Povaliaev, PHARM.D.
• Emilia Poverin, LCSW
• Margaret Josephine Povloski, PHYSICIAN ASSISTANT
• Vincent S Povloski, PT
• Marina Povolotskaya

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.