Midwood Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

028653 Issued in NY

Legal business name

MIDWOOD ORTHODONTICS, PLLC

Practice address

977 E 12TH St
Brooklyn, NY 11230-3666

Phone

(718) 336-6112

Fax

(347) 462-9337

NPI assigned

May 18, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Maya Bershadsky, CDA

Title

Office Manager

Phone

(718) 336-6112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1841550258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303666",
            "telephone_number": "718-336-6112",
            "fax_number": "347-462-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 E 12TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303666",
            "telephone_number": "718-336-6112",
            "fax_number": "347-462-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWOOD ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "BERSHADSKY",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-336-6112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "028653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwood Medical P.C.
• Midwood Mobile Diagnostics, Inc.
• Midwood Nephrology Care PLLC
• Midwood Obstetrics and Gynecology, PLLC
• Midwood Optical LLC
• Midwood Orthomed Supply, in
• Midwood Physical Therapy of Brooklyn, PC
• Miel Pharmacy Corp
• Frank Miele, PHARMACIST
• Nataliia Mielkonian

• Orthodontics and Dentofacial Orthopedics Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.