The Stenvall, Ghattas, Elessawi Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10861 Issued in NJ

Legal business name

THE STENVALL, GHATTAS, ELESSAWI GROUP

Practice address

961 Sanford Ave
Irvington, NJ 07111-1421

Phone

(973) 372-2330

NPI assigned

May 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Warren Stenvall, DMD

Title

Pres

Phone

(973) 372-2330

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1013184845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 SANFORD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 SANFORD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111421",
            "telephone_number": "973-372-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STENVALL, GHATTAS, ELESSAWI GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "STENVALL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "973-372-2330",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "10861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Love, Balance and Wellness Den
• The New Hope Behavioral Center
• The New Hope SFLS LLC
• The Rejuvenation Space LLC
• The Stenvall Group
• Agatha Thomas
• Elsa E Thompson
• Guerlande Thompson
• Herma Thompson, PMHNP-BC
• Shannielle Thompson

• Dental Clinic/Center in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.