LIZA DENTAL MANAGEMENT INC. (NPI# 1356489116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356489116 |
| Entity Type | Organization |
| Organization Name | LIZA DENTAL MANAGEMENT INC. |
| Practice Address |
1219 Liberty Ave Hillside NJ 07205-2055 |
| Practice Telephone | 9083522207 |
| Practice Fax Number | 9083522208 |
| Mailing Telephone | 9083522207 |
| Mailing Fax Number | 9083522208 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALEXANDER YERMOLENKO (PRESIDENT) |
| Authorized Official Telephone | 9083522207 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
19838 | NJ | Ambulatory Health Care Facilities |
| Street Address |
1219 LIBERTY AVE |
| City | HILLSIDE |
| State | NJ |
| Zip Code | 07205-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720612849 | Little Hands and Creations LLC | Community/Behavioral Health | 1219 Liberty Ave, Hillside, NJ 07205-2055 | 2020-02-27 |
| 1255815486 | Little Hands and Creations LLC | Behavioral Analyst | 1219 Liberty Ave, Hillside, NJ 07205-2055 | 2018-09-24 |
| 1912493958 | Zakary Ilya Yermolenko | Dentist | 1219 Liberty Ave, Hillside, NJ 07205-2055 | 2018-07-02 |
| 1689169427 | Nyesha Marie Little | Behavior Technician | 1219 Liberty Ave, Hillside, NJ 07205-2055 | 2018-06-25 |
| 1841581303 | Betty Nursing Service/home Care Inc | In Home Supportive Care | 1219 Liberty Ave, Suite 3, Hillside, NJ 07205-2055 | 2011-05-02 |
| 1508084385 | Jay P Jacobson | Chiropractor | 1219 Liberty Ave, Hillside Chiropractic, Hillside, NJ 07205-2055 | 2007-04-24 |
| 1245365667 | Joseph Assumption Barbier | Chiropractor | 1219 Liberty Ave, Hillside, NJ 07205-2055 | 2007-02-23 |
| 1134289770 | Morris Chiropractic Group | Chiropractor | 1219 Liberty Ave, Hillside, NJ 07205-2055 | 2006-12-12 |
| 1013010529 | Alexander Yermolenko | Dentist | 1219 Liberty Ave, Hillside, NJ 07205 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604618 | Adrienne Garro | Psychologist | Kean University East Campus 215 North Avenue, Dept. of Advanced Studies In Psychology East Campus, Hillside, NJ 07205 | 2018-03-26 |
| 1821347360 | Esther N Lieberman | Specialist | 28 King Street, Hillside, NJ 07205 | 2012-08-30 |
| 1346430089 | On Call Ambulance, LLC | Ambulance | 431 Hillside Ave, Hillside, NJ 07205 | 2007-07-30 |
| 1558551481 | Kona K3 Medical Supplies | Durable Medical Equipment & Medical Supplies | 146 Hillside Avenue, Hillside, NJ 07205 | 2007-07-26 |
| 1154532075 | Hillside Twp. Publlic School | Local Education Agency (LEA) | Hillside High School - Dept of Special Services, 1085 Liberty Ave., Hillside, NJ 07205 | 2007-05-24 |
| 1881778470 | New Jersey Cvs Pharmacy LLC | Pharmacy | 265 Long Ave Shop Rite Sc, Hillside, NJ 07205 | 2006-10-24 |
| 1376169094 | Community Smiles of Elizabeth Pa | Dentist | 1100 N Broad St, Hillside, NJ 07205 | 2020-06-18 |
| 1679041628 | Pharmacotherapy LLC | Respite Care | 58 Blackburn Rd, Hillside, NJ 07205 | 2018-11-07 |
| 1215440243 | Taheerah Nicole Hardy | Technician/Technologist | 1151 Liberty Ave, Hillside, NJ 07205 | 2017-11-13 |
| 1851810832 | Cherion Jasmine Fullerton-coley | Nurse Practitioner | 1295 State Street, Hillside, NJ 07205 | 2017-09-11 |
| Find all providers in zip 07205 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023276292 | Dental Starz, LLC | Clinic/Center | 2121 S Wolf Rd Apt 412, Hillside, IL 60162-2144 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254652 | Oakland Premier Dental | Clinic/Center | 410 Ramapo Valley Rd Ste 101, Oakland, NJ 07436-2716 | 2020-10-27 |
| 1689271116 | C&s Deantal Enterprises | Clinic/Center | 388 Pompton Ave Ste 5, Cedar Grove, NJ 07009-1814 | 2020-10-07 |
| 1609473347 | Mast Dental LLC | Clinic/Center | 120 Highway 33, Manalapan, NJ 07726-8477 | 2020-10-06 |
| 1962009878 | Precision Dentistry LLC | Clinic/Center | 215 Old Tappan Rd Ste 2, Old Tappan, NJ 07675-7000 | 2020-10-04 |
| 1447857685 | Dental Health Center of Monmouth Beach | Clinic/Center | 27 Beach Rd Ste 1, Monmouth Beach, NJ 07750-1387 | 2020-10-01 |
| 1033722137 | Urban Smiles Dental P.a | Clinic/Center | 776 E 3rd Ave Ste Ll2, Roselle, NJ 07203-1698 | 2020-08-28 |
| 1417573353 | Sparq Family Dental LLC | Clinic/Center | 121 Highway 36 Ste 100, West Long Branch, NJ 07764-1459 | 2020-06-16 |
| 1437774023 | Englewood Dental Arts LLC | Clinic/Center | 106 Grand Ave Ste 390, Englewood, NJ 07631-3570 | 2020-06-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1356962914 | Mern Enterprises | Clinic/Center | 2022 Route 71 Ste 204, Spring Lake, NJ 07762-2291 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
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| 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.