NPIMap

Organization Active NPI

Elena Gerlikhman

  • Dental Clinic/Center
  • Ridgewood, NJ
National Provider Identifier
1285813907
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
021543 Issued in NJ
Legal business name
ELENA GERLIKHMAN
Practice address
45 N Broad St
Ridgewood, NJ 07450-3856
Phone
(201) 966-4598
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Elena Gerlihman
Title
Manager
Phone
(201) 966-4598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 021543 NJ Primary

Addresses

Primary practice location

45 N Broad St
Ridgewood, NJ 07450-3856

Mailing address

45 N Broad St
Ridgewood, NJ 07450-3856
Phone (201) 966-4598

Other names 1

  • dental design studio Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1285813907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N BROAD ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503856",
            "telephone_number": "201-966-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N BROAD ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503856",
            "telephone_number": "201-966-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA GERLIKHMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GERLIHMAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-966-4598",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "021543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental design studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.