Individual provider Active NPI

Yelena Oskotskaya, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1922282128
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044991 Issued in NY
Practice address
7101 4TH Ave
Brooklyn, NY 11209-1662
Phone
(718) 836-1200
Fax
(718) 836-1040
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 044991 NY Primary

Addresses

Primary practice location

7101 4TH Ave
Brooklyn, NY 11209-1662

Mailing address

7101 4TH Ave
Brooklyn, NY 11209-1662
Phone (718) 836-1200

Other identifiers 1

IdentifierTypeStateIssuer
01470800MedicaidNY

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
044991NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1922282128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091662",
            "telephone_number": "718-836-1200",
            "fax_number": "718-836-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091662",
            "telephone_number": "718-836-1200",
            "fax_number": "718-836-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSKOTSKAYA",
        "first_name": "YELENA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01470800",
            "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 Dec 24, 2007; 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.