ZAKARY ILYA YERMOLENKO (NPI# 1912493958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912493958 |
| Entity Type | Individual |
| Full Name | ZAKARY ILYA YERMOLENKO |
| Credential | DMD |
| Practice Address |
1219 Liberty Ave Hillside NJ 07205-2055 |
| Practice Telephone | 9085774109 |
| Mailing Telephone | 9085774109 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02716200 | NJ | Dental Providers |
| 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 |
| 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 |
| 1356489116 | Liza Dental Management Inc. | Clinic/Center | 1219 Liberty Ave, Hillside, NJ 07205-2055 | 2007-02-02 |
| 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 | 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 |
|---|---|---|---|---|
| 1366686636 | Sarah Krause | Dentist | 40 Fairbanks St, Hillside, NJ 07205-2853 | 2009-04-29 |
| 1376169094 | Community Smiles of Elizabeth Pa | Dentist | 1100 N Broad St, Hillside, NJ 07205 | 2020-06-18 |
| 1487720389 | Harvey Brooks | Dentist | 1156 Liberty Avenue, Hillside, NJ 07205-2142 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1790385490 | Progressive Dental Group | Dentist | 246 N Franklin Tpke Ste 4, Ramsey, NJ 07446-1635 | 2020-10-30 |
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1093314668 | Chandan Venkatesh | Dentist | 193 Westgate Dr, Edison, NJ 08820-1164 | 2020-10-23 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1407463086 | Mina Youssef | Dentist | 821 Bergen Ave Apt B2, Jersey City, NJ 07306-4522 | 2020-09-28 |
| 1912518820 | Tyler Yim | Dentist | 44 Fairfield Dr, Short Hills, NJ 07078-1703 | 2020-08-13 |
| 1902416639 | Anna Lee | Dentist | 666 Plainsboro Rd Ste 408, Plainsboro, NJ 08536-3009 | 2020-08-06 |
| 1164032413 | Qurratulann Talat Khokhar | Dentist | 53 W 56th St, Bayonne, NJ 07002-4113 | 2020-08-02 |
| 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.