Anna Ellerin, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02169800 Issued in NJ

Practice address

189 Kinderkamack Rd
Westwood, NJ 07675-2289

Phone

(201) 664-2419

Fax

(201) 664-2906

NPI assigned

Jul 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Anna Ellerin DDS PA

  • General Practice Dentistry
  • Westwood, NJ
  • NPI 1669182580
  NPD Authorized official

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1154520054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 KINDERKAMACK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752289",
            "telephone_number": "201-664-2419",
            "fax_number": "201-664-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 KINDERKAMACK RD",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752289",
            "telephone_number": "201-664-2419",
            "fax_number": "201-664-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERIN",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049673",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02169800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Edmonds
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• Eli Kirshner MD PC
• Elizabeth a. Varas MD PC
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• Empicare, Inc.
• Natacha Esber, MD
• Tamar Eskenazi, CCC-SLP
• Evan Steinberg, MD, FCCP, P.a.

• Dentist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.