Andrii Slobodian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02909001 Issued in NJ

Practice address

49 Ridgedale Ave Ste 201
East Hanover, NJ 07936-1014

Phone

(973) 822-1200

NPI assigned

Jun 21, 2022

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Slobodian Dental PC

  • Dentist
  • East Hanover, NJ
  • NPI 1912688789
  NPD Authorized official
• Morris County Dental Associates, LLC

  • General Practice Dentistry
  • Succasunna, NJ
  • NPI 1740573039
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1093446007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 OUTWATER LN",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262604",
            "telephone_number": "917-753-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 RIDGEDALE AVE STE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361014",
            "telephone_number": "973-822-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 North Ave W",
            "address_purpose": "LOCATION",
            "city": "Cranford",
            "state": "NJ",
            "postal_code": "070165117",
            "country_code": "US",
            "telephone_number": "908-276-5330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Commerce Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Succasunna",
            "state": "NJ",
            "postal_code": "078761343",
            "country_code": "US",
            "telephone_number": "973-328-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOBODIAN",
        "first_name": "ANDRII",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02909001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Lawrence MD, LLC
• Iqbal H Siddiqui, D.O
• Siegrist and Wood Associates (Just For You Center)
• Cary M Silverman, MD
• Slobodian Dental PC
• Craig Joseph Smith, DPT
• Valerie Smith
• Danny J Solis
• Nizam Songun, DPT
• Sports and Wellness Physical Therapies

• Dentist in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.