Individual provider Active NPI

Dima Teploff

  • Administrator Registered Nurse
  • New York, NY
National Provider Identifier
1952049710
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
457631 Issued in NY
Practice address
421 8TH Ave Unit 205
New York, NY 10001-7800
Phone
(212) 879-8888
NPI assigned
May 23, 2022
Last updated
May 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 457631 NY Primary

Addresses

Primary practice location

421 8TH Ave Unit 205
New York, NY 10001-7800

Mailing address

421 8TH Ave Unit 205
New York, NY 10001-7800
Phone (212) 879-8888

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL dimateploff.com

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
457631NYMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1952049710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 8TH AVE UNIT 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017800",
            "telephone_number": "212-879-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 8TH AVE UNIT 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017800",
            "telephone_number": "212-879-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPLOFF",
        "first_name": "DIMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "457631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "dimateploff.com",
            "affiliation": "N",
            "address_1": "421 8th Ave Unit 205",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100017800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.