NPIMap

Organization Active NPI

Tetyana Pohorletska Andassociates, Inc.

  • General Practice Dentistry
  • Bridgeport, CT
National Provider Identifier
1871863613
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010053 Issued in CT
Legal business name
TETYANA POHORLETSKA ANDASSOCIATES, INC.
Practice address
90 Brooklawn Ave
Bridgeport, CT 06604-2010
Phone
(347) 323-1715
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Tetyana Pohorletska, DDSNPI 1306179213
Title
Officer
Phone
(203) 517-9507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 010053 CT Primary

Addresses

Primary practice location

90 Brooklawn Ave
Bridgeport, CT 06604-2010

Mailing address

65 Glenbrook Road
#7E
Stamford, CT 06902
Phone (203) 517-9507

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1871863613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GLENBROOK ROAD",
            "address_2": "#7E",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-517-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BROOKLAWN AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066042010",
            "telephone_number": "347-323-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETYANA POHORLETSKA ANDASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "POHORLETSKA",
        "authorized_official_first_name": "TETYANA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "203-517-9507",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.