Active NPI
David Tsadyk
- Dentist
- Bridgeport, CT
National Provider Identifier
1891482873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 064210
- Practice address
- 4131 Main St
Bridgeport, CT 06606-2348 - Phone
- (203) 372-1220
- NPI assigned
- Apr 20, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14155 | CT | |
| Dentist | 122300000X | 064210 | NY | Primary |
Addresses
Primary practice location
4131 Main St
Bridgeport, CT 06606-2348
Mailing address
18548 80TH Rd
Jamaica, NY 11432-5807
Phone (347) 753-7953
Other practice location 1
335 Court St
Brooklyn, NY 11231-4335
Phone (347) 916-0313
Other practice location 2
2246 31st St
Astoria, NY 11105-2786
Phone (718) 728-8800
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 |
|---|---|---|---|
| 14155 | CT | MD | Clinical Social Worker |
| 064210 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medidental Group LLC | 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.
-
- Multi-Specialty Clinic/Center
- Astoria, NY
- NPI 1518439967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1891482873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18548 80TH RD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325807",
"telephone_number": "347-753-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066062348",
"telephone_number": "203-372-1220"
}
],
"practiceLocations": [
{
"address_1": "335 Court St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112314335",
"country_code": "US",
"telephone_number": "347-916-0313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2246 31st St",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111052786",
"country_code": "US",
"telephone_number": "718-728-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSADYK",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-20",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "14155",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "064210",
"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 Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.