Organization Active NPI

Mordehai Ahdut DDS PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1891250007
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MORDEHAI AHDUT DDS PC
Practice address
4205 Avenue P
Brooklyn, NY 11234-3519
Phone
(718) 338-5700
NPI assigned
Feb 1, 2019
Last updated
Feb 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Dr. Mordehai Ahdut, DDSNPI 1205945946
Title
Owner
Phone
(718) 338-5700

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 Primary

Addresses

Primary practice location

4205 Avenue P
Brooklyn, NY 11234-3519

Mailing address

4205 Avenue P
Brooklyn, NY 11234-3519
Phone (718) 338-5700

Other practice location 1

3222 Avenue I
Brooklyn, NY 11210-3940
Phone (718) 258-8884

Other practice location 2

1532 Flatbush Ave
Brooklyn, NY 11210-2427
Phone (718) 434-5800

Other practice location 3

8007 Northern Blvd
Jackson Heights, NY 11372-1344
Phone (718) 335-0100

National Provider Directory

National Provider Directory

Locations

3222 Avenue I
Brooklyn, NY 11210
Phone (718) 258-8884

4205 Avenue P
Brooklyn, NY 11234
Phone (718) 338-5700

8007 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 335-0100

Practitioners & affiliated clinicians

Practitioners 4

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": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1891250007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343519",
            "telephone_number": "718-338-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343519",
            "telephone_number": "718-338-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 Avenue I",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112103940",
            "country_code": "US",
            "telephone_number": "718-258-8884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1532 Flatbush Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112102427",
            "country_code": "US",
            "telephone_number": "718-434-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8007 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113721344",
            "country_code": "US",
            "telephone_number": "718-335-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORDEHAI AHDUT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "AHDUT",
        "authorized_official_first_name": "MORDEHAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-338-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.