Individual provider Active NPI

Ziva Yonaiev, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1912562554
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
061492-01 Issued in NY
Practice address
425 Madison Ave RM 500
New York, NY 10017-1170
Phone
(212) 758-1000
NPI assigned
May 9, 2019
Last updated
May 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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 061492-01 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X NY

Addresses

Primary practice location

425 Madison Ave RM 500
New York, NY 10017-1170

Mailing address

6550 Wetherole St
Rego Park, NY 11374-4767
Phone (347) 256-8737

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
061492-01NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dental of Manhattan PC CurrentSince May 9, 2021 Accepting new patients

Locations

425 Madison Ave
Rm 500
New York, NY 10017
Phone (212) 758-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1912562554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 WETHEROLE ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744767",
            "telephone_number": "347-256-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE RM 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171170",
            "telephone_number": "212-758-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONAIEV",
        "first_name": "ZIVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061492-01",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.