| NPI | 1073502332 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-10-19 |
| Last Updated | 2007-07-09 |
| Mailing Address | 1809 Nostrand Ave Brooklyn, NY 11226-7133 United States Phone: (718) 282-7400 | Fax: (718) 282-7488 📍 View Map |
| Primary Practice Address | 1809 Nostrand Ave Brooklyn, NY 11226-7133 United States Phone: (718) 282-7400 | Fax: (718) 282-7488 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02321557 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223G0001X – Dentist, General Practice | NY | 048293 |
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About NPI 1073502332
Tatyana Niyazov D.D.S. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073502332. The primary specialty listed is Dentist, General Practice. The provider is located in Brooklyn, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073502332?
NPI 1073502332 belongs to Tatyana Niyazov D.D.S., a Dentist, General Practice in Brooklyn, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073502332 active?
The current status of NPI 1073502332 in the NPPES registry is Active. The record was last updated on 2007-07-09.
What specialty is NPI 1073502332?
NPI 1073502332 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073502332?
You can verify NPI 1073502332 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073502332?
The primary practice address on file for NPI 1073502332 is 1809 Nostrand Ave, Brooklyn, NY 11226-7133. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073502332 issued?
NPI 1073502332 was first issued (enumerated) on 2005-10-19. The NPPES record was last updated on 2007-07-09.
Practice Location Map
Tatyana Niyazov is located at 1809 Nostrand Ave, Brooklyn, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tatyana Niyazov. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073502332. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, General Practice | 048293 | NY |