Organization Active NPI

All American Dental PC

  • General Practice Dentistry
  • Elizabeth, NJ
National Provider Identifier
1063522456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D102233400 Issued in NJ
Legal business name
ALL AMERICAN DENTAL PC
Practice address
14 West Winfield Scott PLZ
Elizabeth, NJ 07201
Phone
(908) 353-5400
Fax
(908) 353-7273
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Aleksey Novakhov, DDSNPI 1023008091
Title
Owner
Phone
(908) 353-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 22D102233400 NJ Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 22D102059900 NJ

Addresses

Primary practice location

14 West Winfield Scott PLZ
Elizabeth, NJ 07201

Mailing address

14 West Winfield Scott PLZ
Elizabeth, NJ 07201
Phone (908) 353-5400

Other identifiers 10

IdentifierTypeStateIssuer
D0000129500OtherNJAMERICHOICE
0030724MedicaidNJ
60016392OtherNJHORIZON
0020079MedicaidNJ
059900OtherNJDELTA NJ
1646362OtherNJUNITED CONCORDIA
00000111700OtherNJAMERICHOICE
0084646MedicaidNJ
103751OtherNJPOKAL
900OtherNJDELTA FLAGSHIP

National Provider Directory

National Provider Directory
Tax ID family
All American Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063522456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WEST WINFIELD SCOTT PLZ",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07201",
            "telephone_number": "908-353-5400",
            "fax_number": "908-353-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WEST WINFIELD SCOTT PLZ",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07201",
            "telephone_number": "908-353-5400",
            "fax_number": "908-353-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL AMERICAN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVAKHOV",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-353-5400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102233400",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102059900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "D0000129500",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030724",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "60016392",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020079",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA NJ",
            "identifier": "059900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1646362",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "00000111700",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084646",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POKAL",
            "identifier": "103751",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA FLAGSHIP",
            "identifier": "900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.