Smile Loft Fair Lawn, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE LOFT FAIR LAWN, LLC

Practice address

32-16 Broadway Ste 201
Fair Lawn, NJ 07410-4600

Phone

(201) 794-0440

NPI assigned

Jun 7, 2023

Organization subpart

No

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

Authorized official

Name

Oxana Rayskaya

Title

Director of Ar

Phone

(347) 545-2557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1184318586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32-16 BROADWAY STE 201",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104600",
            "telephone_number": "201-794-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-16 BROADWAY STE 201",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104600",
            "telephone_number": "201-794-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LOFT FAIR LAWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "RAYSKAYA",
        "authorized_official_first_name": "OXANA",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "347-545-2557"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Skrec, M.A. CCC-SLP
• Miriam Skydell
• Slade Enterprise Inc (Rehabilitation Specialists)
• Michael S Slade, M.D.
• Mallory Anne Smallze
• Smilify of Fair Lawn
• Dawn Marie Smith, LPC
• John P Smith, DO
• Terence Jay Smith, DDS
• Joseph Smotkin, MD

• Dentist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.