Dental Wellness of Clifton

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL WELLNESS OF CLIFTON

Practice address

1149 Bloomfield Ave Ste a
Clifton, NJ 07012-2314

Phone

(973) 473-2410

Fax

(973) 473-4552

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Rada Meytin, DMSNPI 1265711246

Title

Owner

Phone

(973) 473-2410

Specialties & licenses 1

Addresses

Other names 1

• Dental Wellness of Clifton Doing business as

Locations

Practitioners 2

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

• Rada Meytin, DMD

  • Dentist
  • Clifton, NJ
  • NPI 1265711246
  NPD Authorized official
• Andrea Lisowski, ANDREA LISOWSKI DMD

  • Specialist
  • Clifton, NJ
  • NPI 1114042231
  NPD (past)

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1154086254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 BLOOMFIELD AVE STE A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 BLOOMFIELD AVE STE A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070122314",
            "telephone_number": "973-473-2410",
            "fax_number": "973-473-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL WELLNESS OF CLIFTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "MEYTIN",
        "authorized_official_first_name": "RADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-473-2410",
        "authorized_official_credential": "DMS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Wellness of Clifton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael David Delisi, M.D.
• David Delvecchio
• Maria B Delvecchio, MDQ
• Alma Dema, D.M.D.
• Lidia D Dengelegi Abrams, PHD
• Diana Deodat-Sarran
• Department of Special Education of the Roman Catholic Diocese of Pater
• Department of Special Education of the Roman Catholic Diocese of Pater
• Brian G Depetris, DMD
• Dermatology Center of North Jersey

• All providers in Clifton, NJ
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.