Active NPI
All American Dental PC
- General Practice Dentistry
- Elizabeth, NJ
National Provider Identifier
1063522456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22D102233400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Aleksey Novakhov, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22D102233400 | NJ | Primary |
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0000129500 | Other | NJ | AMERICHOICE |
| 0030724 | Medicaid | NJ | |
| 60016392 | Other | NJ | HORIZON |
| 0020079 | Medicaid | NJ | |
| 059900 | Other | NJ | DELTA NJ |
| 1646362 | Other | NJ | UNITED CONCORDIA |
| 00000111700 | Other | NJ | AMERICHOICE |
| 0084646 | Medicaid | NJ | |
| 103751 | Other | NJ | POKAL |
| 900 | Other | NJ | DELTA FLAGSHIP |
National Provider Directory
National Provider Directory- Tax ID family
- All American Dental PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Newark, NJ
- NPI 1649441742
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Elizabeth, NJ
- NPI 1023008091
-
- Dentist
- Elizabeth, NJ
- NPI 1629229513
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.