Flatbush Dental Group, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

049033 Issued in NY

Legal business name

FLATBUSH DENTAL GROUP, P.C.

Practice address

789 Flatbush Ave
Brooklyn, NY 11226-1903

Phone

(718) 693-5455

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ilya Freyberg, D.D.S.

Title

President

Phone

(917) 519-3772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1942513833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261903",
            "telephone_number": "718-693-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261903",
            "telephone_number": "718-693-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATBUSH DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "FREYBERG",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-519-3772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flatbush Addiction Treat Center
• Flatbush Adult Daycare LLC
• Flatbush Chiropractic PC
• Flatbush Community Nutrition LLC
• Flatbush Dental Associates PC
• Flatbush Dental Studio PLLC
• Flatbush DM Pharmacy Corp
• Flatbush Doulas Inc
• Flatbush Express Optical, Inc
• Flatbush Express Pharmacy, Inc.

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.