Individual provider Active NPI

Yisroel Noskow

  • Pediatric Dentistry
  • Pompano Beach, FL
National Provider Identifier
1922549054
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN23119 Issued in FL
Practice address
2323 NE 26TH Ave Ste 107
Pompano Beach, FL 33062-1147
Phone
(954) 406-8800
NPI assigned
Mar 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN23119 FL Primary

Addresses

Primary practice location

2323 NE 26TH Ave Ste 107
Pompano Beach, FL 33062-1147

Mailing address

8100 Falls LN
Parkland, FL 33067-0907

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
DN23119FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Yisrole Noskow DMD Palm City PA Pediatric Dentistry Current Accepting new patients
Yisroel Noskow DMD PA Pediatric Dentistry CurrentSince Dec 15, 2019 Accepting new patients

Locations

2323 NE 26th Ave
Ste 107
Pompano Beach, FL 33062
Phone (954) 406-8800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1922549054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 FALLS LN",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330670907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 NE 26TH AVE STE 107",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621147",
            "telephone_number": "954-406-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSKOW",
        "first_name": "YISROEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN23119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.