Active NPI
Michael Vyacheslav Aluf, DDS
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1871638684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 052534
- Practice address
- 289 E 149TH St
2ND Floor
Bronx, NY 10451-5601 - Phone
- (718) 742-7400
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 052534 | NY | Primary |
Addresses
Primary practice location
289 E 149TH St
2ND Floor
Bronx, NY 10451-5601
Mailing address
306 Main St
Apt. 505
Ridgefield Park, NJ 07660-1227
Phone (201) 925-5496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02778949 | Medicaid | NY |
Other names 1
- Dr. Vichislav Aluf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052534 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zebunnessa Moral D.D.S., PLLC | 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.
-
- Dental Clinic/Center
- Bronx, NY
- NPI 1609177575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871638684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 MAIN ST",
"address_2": "APT. 505",
"city": "RIDGEFIELD PARK",
"state": "NJ",
"postal_code": "076601227",
"telephone_number": "201-925-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 E 149TH ST",
"address_2": "2ND FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104515601",
"telephone_number": "718-742-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALUF",
"first_name": "MICHAEL",
"middle_name": "VYACHESLAV",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052534",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02778949",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICHISLAV",
"last_name": "ALUF",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.