LIDIA SIMEONOVA SIMEONOVA (NPI# 1336347517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336347517 |
| Entity Type | Individual |
| Full Name | LIDIA SIMEONOVA SIMEONOVA |
| Credential | DDS |
| Practice Address |
409 76th St Apt 1 North Bergen NJ 07047-5503 |
| Practice Telephone | 2019367300 |
| Practice Fax Number | 2129954843 |
| Mailing Telephone | 2019367300 |
| Mailing Fax Number | 2129954843 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
22DI02291801 | NJ | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02291800 | NJ | Dental Providers |
| Street Address |
409 76TH ST APT 1 |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1225566607 | Ali Ayoub | Dentist | 8412 Kennedy Blvd, North Bergen, NJ 07047-4265 | 2017-05-30 |
| 1073993887 | Eric E Oh | Dentist | Kennedy Dental Center 8407 Kennedy Blvd, North Bergen, NJ 07047 | 2015-06-05 |
| 1144458878 | Oana Gabriela Opariuc | Dentist | 7855 Boulevard E Apt 7e, North Bergen, NJ 07047-5928 | 2009-07-01 |
| 1457536070 | Dido Kim | Dentist | 7504 Broadway, North Bergen, NJ 07047-5722 | 2008-01-02 |
| 1952501132 | Emil I Labib | Dentist | 1433 43rd St, North Bergen, NJ 07047-2764 | 2007-07-24 |
| 1780894261 | Luciano Ghisalberti | Dentist | 7918 Kennedy Blvd, North Bergen, NJ 07047-4120 | 2007-05-23 |
| 1629290663 | Smile Dental Center of N.j., Pa | Dentist | 7110 Bergenline Ave, North Bergen, NJ 07047-5415 | 2007-05-02 |
| 1124140538 | Michael James Skroce | Dentist | 8501 Bergenline Ave, North Bergen, NJ 07047-5175 | 2007-04-04 |
| 1063531978 | Hans Kim | Dentist | 9014 Kennedy Blvd, North Bergen, NJ 07047-5303 | 2007-03-29 |
| Find all providers in NORTH BERGEN | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
Please comment or provide details below to improve the information on LIDIA SIMEONOVA SIMEONOVA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.