Laurie A Bovino, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI01661200 Issued in NJ

Practice address

345 Kinderkamack Rd Ste D
Westwood, NJ 07675-1600

Phone

(201) 664-0878

Fax

(201) 664-2234

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS. Galitsis and Bovino

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westwood, NJ
  • NPI 1417092701
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295830826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 KINDERKAMACK RD STE D",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751600",
            "telephone_number": "201-664-0878",
            "fax_number": "201-664-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KINDERKAMACK RD STE D",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751600",
            "telephone_number": "201-664-0878",
            "fax_number": "201-664-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVINO",
        "first_name": "LAURIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI01661200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Jordan Bockhorn, M.S., CCC-SLP
• Teresa Rose Boemio, MS
• Andrew Michael Boruta, DO
• Mikhail A Botvinov, D.O.
• Mina Boulos, M.D., D.M.D.
• Bray Orthotics and Prosthetics LLC
• Breast Fit
• Breast Rehabilitation & Healing Center
• Neal G Breit, M.D.
• Broadway Dental Associates, P.a.

• Orthodontics and Dentofacial Orthopedics Dentistry in Westwood, NJ
• Providers in Westwood, 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 Jul 8, 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.