NPIMap

Organization Active NPI

Rafael Isakharov DDS PC

Doing business as Elite Dental

  • Dentist
  • Rego Park, NY
National Provider Identifier
1932783560
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RAFAEL ISAKHAROV DDS PC
Doing business as
Elite Dental
Practice address
9819 64TH Ave Apt 1H
Rego Park, NY 11374-2525
Phone
(718) 897-9745
Fax
(646) 889-2823
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Rafael IsakharovNPI 1750459194
Title
Owner
Phone
(347) 341-9863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9819 64TH Ave Apt 1H
Rego Park, NY 11374-2525

Mailing address

9819 64TH Ave Apt 1H
Rego Park, NY 11374-2525
Phone (718) 897-9745

Other names 1

  • Elite Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1932783560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9819 64TH AVE APT 1H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742525",
            "telephone_number": "718-897-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9819 64TH AVE APT 1H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742525",
            "telephone_number": "718-897-9745",
            "fax_number": "646-889-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL ISAKHAROV DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "ISAKHAROV",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-341-9863"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rego Park, NY

Sources for this page

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