Individual provider Active NPI

Victoria Zubkina, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1972704104
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040847 Issued in NY
Practice address
420 Madison Ave RM 1003
New York, NY 10017-1188
Phone
(212) 765-4458
NPI assigned
May 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 040847 NY Primary

Addresses

Primary practice location

420 Madison Ave RM 1003
New York, NY 10017-1188

Mailing address

420 Madison Ave RM 1003
New York, NY 10017-1188
Phone (212) 765-4458

Other identifiers 3

IdentifierTypeStateIssuer
1972704104OtherNY12223G0001X
1972704104OtherNYNYS
1972704104OtherNY040847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513000595 NY Order and Referring Only - DentistPractitioner - Dentist 1951690015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1972704104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MADISON AVE RM 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171188",
            "telephone_number": "212-765-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MADISON AVE RM 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171188",
            "telephone_number": "212-765-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBKINA",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "12223G0001X",
            "identifier": "1972704104",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS",
            "identifier": "1972704104",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "040847",
            "identifier": "1972704104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.