Organization Active NPI

Advanced Dentistry for U

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1932361532
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052319 Issued in NY
Legal business name
ADVANCED DENTISTRY FOR U
Practice address
2084 West 6TH St
Brooklyn, NY 11223
Phone
(718) 946-1200
Fax
(718) 946-1204
NPI assigned
Jun 26, 2008
Organization subpart
Yes
Parent organization
ADVANCED DENTISTRY FOR UAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Youval Melamed, DDS
Title
Dentist
Phone
(718) 946-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 052319 NY Primary

Addresses

Primary practice location

2084 West 6TH St
Brooklyn, NY 11223

Mailing address

2084 West 6TH St
Brooklyn, NY 11223
Phone (718) 946-1200

Other identifiers 1

IdentifierTypeStateIssuer
02694966MedicaidNY

National Provider Directory

National Provider Directory
Part of
Advanced Dentistry for U

Locations

2084 W 6th St
Brooklyn, NY 11223
Phone (718) 946-1200

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1932361532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 WEST 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "718-946-1200",
            "fax_number": "718-946-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 WEST 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "718-946-1200",
            "fax_number": "718-946-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTISTRY FOR U",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED DENTISTRY FOR U",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MELAMED",
        "authorized_official_first_name": "YOUVAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-946-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02694966",
            "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 Jun 26, 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.