Paramus Park Mall Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI 02242900 Issued in NJ

Legal business name

PARAMUS PARK MALL DENTAL LLC

Practice address

700 Paramus Park
Suite 1615
Paramus, NJ 07652-3557

Phone

(201) 261-3444

Fax

(201) 261-3445

NPI assigned

Jan 26, 2017

Last updated

Jan 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Igor Levin, DDSNPI 1932313244

Title

Dentist

Phone

(516) 798-3444

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Igor Levin, DDS

  • General Practice Dentistry
  • Massapequa, NY
  • NPI 1932313244
  Authorized official Same address or phone

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1164969325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PARAMUS PARK",
            "address_2": "SUITE 1615",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523557",
            "telephone_number": "201-261-3444",
            "fax_number": "201-261-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PARAMUS PARK",
            "address_2": "SUITE 1615",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523557",
            "telephone_number": "201-261-3444",
            "fax_number": "201-261-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMUS PARK MALL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-798-3444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI 02242900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paramus Medical Imaging, LLC
• Paramus MRI LLC
• Paramus OBGYN LLC
• Paramus Orthopedic Physical Therapy
• Paramus Orthopedic Physical Therapy, PC
• Paramus Park Oral Surgery & Dental Implant Studio
• Paramus Pediatrics, PA
• Paramus Pharmacy Inc (Paramus Pharmacy)
• Paramus Physical Therapy and Rehabilitation LLC
• Paramus Public Schools

• General Practice Dentistry in Paramus, NJ
• Providers in Paramus, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.