Organization Active NPI

Neptune Dental Associates PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1891967667
Registry record updated Apr 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NEPTUNE DENTAL ASSOCIATES PC
Practice address
3375 Neptune Ave
Brooklyn, NY 11224-1675
Phone
(347) 256-5363
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2008

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

Authorized official

Name
Dr. Lewis R Brestin, DDS
Title
President
Phone
(718) 526-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3375 Neptune Ave
Brooklyn, NY 11224-1675

Mailing address

17331 Jamaica Ave
Jamaica, NY 11432-5523
Phone (715) 526-7000

Other identifiers 1

IdentifierTypeStateIssuer
02604382MedicaidNY

National Provider Directory

National Provider Directory

Locations

3375 Neptune Ave
Brooklyn, NY 11224
Phone (347) 256-5363

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208563200000",
    "number": "1891967667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17331 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325523",
            "telephone_number": "715-526-7000",
            "fax_number": "718-291-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 NEPTUNE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241675",
            "telephone_number": "347-256-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPTUNE DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-19",
        "status": "A",
        "authorized_official_last_name": "BRESTIN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-526-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02604382",
            "state": "NY"
        }
    ],
    "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 Apr 19, 2008; 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.