Active NPI
Viktoria Sverdlov, DMD
- Dentist
- Fair Lawn, NJ
National Provider Identifier
1003060138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02304200
- Practice address
- 15-01 Broadway
Suite 10F
Fair Lawn, NJ 07410-6003 - Phone
- (201) 791-0130
- Fax
- (201) 791-9394
- NPI assigned
- Nov 17, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02304200 | NJ | Primary |
Addresses
Primary practice location
15-01 Broadway
Suite 10F
Fair Lawn, NJ 07410-6003
Mailing address
15-01 Broadway
Suite 10F
Fair Lawn, NJ 07410-6003
Phone (201) 791-0130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02304200 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dentists, P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Fair Lawn, NJ
- NPI 1245448026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1003060138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15-01 BROADWAY",
"address_2": "SUITE 10F",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106003",
"telephone_number": "201-791-0130",
"fax_number": "201-791-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15-01 BROADWAY",
"address_2": "SUITE 10F",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106003",
"telephone_number": "201-791-0130",
"fax_number": "201-791-9394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVERDLOV",
"first_name": "VIKTORIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-17",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02304200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.