Stavisky Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

STAVISKY ORTHODONTICS PC

Practice address

1171 E Landis Ave
Vineland, NJ 08360-4200

Phone

(856) 691-7142

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tanya Stavisky, DDSNPI 1023136843

Title

Owner

Phone

(609) 405-0541

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.

• Tanya Stavisky, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vineland, NJ
  • NPI 1023136843
  NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1255070025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 E LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604200",
            "telephone_number": "856-691-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 E LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083604200",
            "telephone_number": "856-691-7142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "279 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Pennsville",
            "state": "NJ",
            "postal_code": "080702730",
            "country_code": "US",
            "telephone_number": "865-678-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1119 Highway 77",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "NJ",
            "postal_code": "083023620",
            "country_code": "US",
            "telephone_number": "856-451-6328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAVISKY ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "STAVISKY",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-405-0541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Stanmire, LPN
• Carlos Starling-Santiago
• Arthur Joseph Starr, O.D.
• Jennie Stasio, OD
• State of New Jersey Omb Centralized Payroll
• Tanya Stavisky, DMD
• Rachelann Stavoli, APN,C
• Kenneth M Steier, FNP-C
• Madison Taylor Stein, DO
• Marc David Stein, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.