UP DENTAL PLLC
NPI 1225290547
Dentist - General Practice in Brooklyn, NY

Active since June 27, 2008
1502 E 14TH ST, BROOKLYN, NY 11230(718) 709-4611 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Up Dental Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UP DENTAL PLLC (NPI 1225290547) is a healthcare organization registered as a general practice in Brooklyn, New York and active in the NPI registry since June 2008. The organization maintains a secondary practice location in Brooklyn and lists Nadia Poustovoit, Owner, as its authorized official.

NPPES Registry Identity

NPI1225290547
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameUP DENTAL PLLC
Location Address1502 E 14TH STBrooklyn, NY 11230-7283
Mailing Address2952 Brighton 3rd St Ste 201Brooklyn, NY 11235-7078 · (718) 975-4334 · Fax (718) 975-4337
Organization SubpartNo
Authorized OfficialNadia PoustovoitOwner · (718) 709-4611
Enumeration DateJune 27, 2008
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
✔ NPI 1225290547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 038032
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1502 E 14TH ST, Brooklyn, NY 11230

Secondary Practice Location 1

Location 12499 Ocean AvenueBrooklyn, NY 11229 · Phone (718) 743-9000 · Fax (718) 743-9000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Up Dental Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Up Dental PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dentist
NPI 1336763614
1502 E 14TH ST
Brooklyn, NY 11230
(718) 709-4611
✔ PECOSSame address
Dentist
NPI 1831117860
1502 E 14TH ST
Brooklyn, NY 11230
(718) 709-4611
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1639393754
2101 BAY RIDGE PKWY
Brooklyn, NY 11204
(718) 232-6996
✔ PECOS✔ Accepts Medicare1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Up Dental PLLC's NPI number?

The NPI number for Up Dental PLLC is 1225290547. It was assigned to this organization in the NPPES registry on June 27, 2008.

Where is Up Dental PLLC located?

Up Dental PLLC is located at 1502 E 14th St, Brooklyn, NY 11230. The listed phone number is (718) 709-4611.

What is Up Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Up Dental PLLC enrolled in Medicare?

Yes. Up Dental PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Up Dental PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Up Dental PLLC, in Dentist and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Up Dental PLLC was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.