NPIMap

Organization Active NPI

Mariya Medlenov DDS LLC

  • Dentist
  • Pine Beach, NJ
National Provider Identifier
1124631387
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARIYA MEDLENOV DDS LLC
Practice address
241 Washington Ave
Pine Beach, NJ 08741-1544
Phone
(732) 341-6010
NPI assigned
Aug 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Mariya MedlenovNPI 1477950731
Title
Dentist Owner
Phone
(267) 288-3355

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

241 Washington Ave
Pine Beach, NJ 08741-1544

Mailing address

42 Chatsworth Rd
Manalapan, NJ 07726-4187

Other names 1

  • Century Dental East Doing business as

National Provider Directory

National Provider Directory

Locations

241 Washington Ave
Pine Beach, NJ 08741
Phone (732) 341-6010

Practitioners & affiliated clinicians

Practitioners 1

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": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1124631387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CHATSWORTH RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077264187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 WASHINGTON AVE",
            "city": "PINE BEACH",
            "state": "NJ",
            "postal_code": "087411544",
            "telephone_number": "732-341-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIYA MEDLENOV DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "MEDLENOV",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "267-288-3355"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Dental East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Beach, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.