ELIZABETH AVENUE DENTISTRY, PC (NPI# 1851781561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851781561 |
| Entity Type | Organization |
| Organization Name | ELIZABETH AVENUE DENTISTRY, PC |
| Practice Address |
643 Elizabeth Ave Elizabeth NJ 07206-1131 |
| Practice Telephone | 9083540030 |
| Practice Fax Number | 9083544029 |
| Mailing Telephone | 9083540030 |
| Mailing Fax Number | 9083544029 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | DR. LENA KHAYLOMSKY (PRESIDENT) |
| Authorized Official Telephone | 9176587537 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
22424 | NJ | Ambulatory Health Care Facilities |
| Street Address |
643 ELIZABETH AVE |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07206-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235791310 | Mars Premier Care LLC | Day Training, Developmentally Disabled Services | 210 Monsignor Kemezis Place, Elizabeth, NJ 07206 | 2019-06-28 |
| 1588151898 | Kathleen Michelle Dewyke | Psychiatry & Neurology | 654 East Jersey St, Residency Program, Elizabeth, NJ 07206 | 2018-04-23 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
| 1558683987 | Susan Nestler Wohlgemuth | Counselor | 654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 | 2010-02-26 |
| 1053540807 | Krista Shea Hasenfus | Social Worker | 655 East Jersey Street, Elizabeth, NJ 07206 | 2009-07-14 |
| 1396940193 | Danielle Pompey | Social Worker | 655 East Jersey Stereet, Dept. Behavioral Health & Psychiatry, Elizabeth, NJ 07206 | 2007-06-20 |
| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1376661264 | Patricia F. Traynham | Registered Nurse | New Point Campus, 655 East Jersey Avenue, Elizabeth, NJ 07206 | 2007-03-27 |
| 1629165204 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey Street, Youth Case Management, Elizabeth, NJ 07206 | 2006-10-06 |
| 1184719312 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E. Jersey Street, Residential Services, Elizabeth, NJ 07206 | 2006-10-04 |
| Find all providers in zip 07206 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653062 | Jodal Dental Associates | Clinic/Center | 570 N Broad St Ste 4, Elizabeth, NJ 07208-4301 | 2019-08-06 |
| 1063908622 | Lysandra Plotkin, D.m.d LLC | Clinic/Center | 1151 E Jersey St, Elizabeth, NJ 07201-2310 | 2018-07-06 |
| 1447625447 | Paris and Betancourt, Dmd | Clinic/Center | 570 N Broad St, Suite #6, Elizabeth, NJ 07208-3314 | 2015-12-02 |
| 1083897375 | B & K Family Dental, LLC | Clinic/Center | 707 Elizabeth Ave, Elizabeth, NJ 07201-2806 | 2007-12-10 |
| 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.