Organization Active NPI

Lama Dental Group PC

  • Dental Clinic/Center
  • Fair Lawn, NJ
National Provider Identifier
1265631725
Registry record updated Jul 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02015900 Issued in NJ
Legal business name
LAMA DENTAL GROUP PC
Practice address
26-07 Broadway
Suite 23
Fair Lawn, NJ 07410-3832
Phone
(201) 791-2170
NPI assigned
Jul 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2007

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

Authorized official

Name
Svetlana Yarmolinskaya, D.D.S.NPI 1912044017
Title
President
Phone
(201) 791-2170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI02015900 NJ Primary

Addresses

Primary practice location

26-07 Broadway
Suite 23
Fair Lawn, NJ 07410-3832

Mailing address

26-07 Broadway
Suite 23
Fair Lawn, NJ 07410-3832
Phone (201) 791-2170

Other identifiers 1

IdentifierTypeStateIssuer
02072764MedicaidNY

National Provider Directory

National Provider Directory

Locations

26-07 Broadway
Ste 23
Fair Lawn, NJ 07410
Phone (201) 321-7039

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184457600000",
    "number": "1265631725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26-07 BROADWAY",
            "address_2": "SUITE 23",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103832",
            "telephone_number": "201-791-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26-07 BROADWAY",
            "address_2": "SUITE 23",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103832",
            "telephone_number": "201-791-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMA DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-15",
        "last_updated": "2007-07-15",
        "status": "A",
        "authorized_official_last_name": "YARMOLINSKAYA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-791-2170",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02015900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02072764",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.