Individual provider Active NPI

Phillip Dombrovskiy, DDS

  • General Practice Dentistry
  • Easton, PA
National Provider Identifier
1902662083
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI03066300 Issued in NJ
Practice address
324 Cattell St
Easton, PA 18042-7609
Phone
(610) 686-9330
NPI assigned
Feb 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI03066300 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

324 Cattell St
Easton, PA 18042-7609

Mailing address

541B 7TH St
Palisades Park, NJ 07650-3110

Other practice location 1

1 Robertson Dr Ste 14
Bedminster, NJ 07921-1716
Phone (908) 234-1401

Other practice location 2

385 Prospect Ave Ste 304
Hackensack, NJ 07601-2570
Phone (201) 425-9580

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

LicenseStateTypeSpecialty
22DI03066300NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1902662083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541B 7TH ST",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076503110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 CATTELL ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180427609",
            "telephone_number": "610-686-9330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Robertson Dr Ste 14",
            "address_purpose": "LOCATION",
            "city": "Bedminster",
            "state": "NJ",
            "postal_code": "079211716",
            "country_code": "US",
            "telephone_number": "908-234-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 Prospect Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076012570",
            "country_code": "US",
            "telephone_number": "201-425-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMBROVSKIY",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03066300",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.