Yelena Andriescu, DMD
Individual provider Active NPI Dentist · Edgewater, NJ
NPI 1114199064 · NPPES record last updated Dec 17, 2010
Key facts
- NPI
- 1114199064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22DI02248200 (NJ)
- Practice address
- 23 Edgewater Towne Ctr
Edgewater, NJ 07020-1246 - Phone
- (201) 945-1600
- Fax
- (201) 945-1615
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02248200 | NJ | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02248200 | NJ | Yes |
Addresses
Primary practice location
23 Edgewater Towne Ctr
Edgewater, NJ 07020-1246
Mailing address
23 Edgewater Towne Ctr
Edgewater, NJ 07020-1246
Phone (201) 945-1600
Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.