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Andrey Ivanov, DDS
NPI 1578883419 · General Practice Dentistry · Brooklyn, NY
Andrey Ivanov, DDS is a General Practice Dentistry provider in Brooklyn, NY (NPI 1578883419).
Provider details
- NPI number
- 1578883419
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 049734 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
575 Fulton St
2nd Floor
Brooklyn, NY 11201-5309
Phone: (718) 596-5378
Street-level locationGet directions
Mailing address
803 Plaza Dr
Woodbridge, NJ 07095-1114
Registry dates
- Enumerated
- 2010-06-02
- Last updated
- 2010-06-02
Frequently asked questions
- What is Andrey Ivanov's NPI number?
- Andrey Ivanov's National Provider Identifier (NPI) is 1578883419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrey Ivanov's specialty?
- Andrey Ivanov is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Andrey Ivanov located?
- Andrey Ivanov's practice location on file with NPPES is 575 Fulton St, Brooklyn, NY 11201-5309.
- What is Andrey Ivanov's phone number?
- The practice phone number listed in the NPPES registry for Andrey Ivanov is (718) 596-5378.
- Is Andrey Ivanov's NPI active?
- Yes — Andrey Ivanov's NPI (1578883419) is active in the NPPES registry as of the last update on 2010-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.