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JEFF BUIZASTROW DDS
NPI 1760054969
Dentist - Endodontics in Brooklyn, NY

Active since July 15, 2021
615 BAY RIDGE PKWY # 3329, BROOKLYN, NY 11209(718) 745-4200 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2023, Jul 15, 2021 (2 updates tracked since 2021).

About Jeff Buizastrow Dds NPPES

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

JEFF BUIZASTROW DDS (NPI 1760054969) is an individual endodontics provider in Brooklyn, New York, licensed in New York (065014) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1760054969
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameJEFF BUIZASTROWCredential: DDS
Location Address615 BAY RIDGE PKWY # 3329Brooklyn, NY 11209-3329
Mailing Address205 WickerIrvine, CA 92618-1170
Phone(718) 745-4200
Sole ProprietorYes
Enumeration DateJuly 15, 2021
Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1760054969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NY · 065014
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 107613 (CA)
615 BAY RIDGE PKWY # 3329, Brooklyn, NY 11209
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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 Jeff Buizastrow's NPI number?

The NPI number for Jeff Buizastrow is 1760054969. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Jeff Buizastrow located?

Jeff Buizastrow practices at 615 Bay Ridge Pkwy # 3329, Brooklyn, NY 11209. The listed phone number is (718) 745-4200.

What is Jeff Buizastrow's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Jeff Buizastrow was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.