Absolute Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI0200200 Issued in NJ

Legal business name

ABSOLUTE DENTAL LLC

Practice address

5526 Bergenline Ave
2ND Floor
West New York, NJ 07093-4670

Phone

(201) 558-9600

Fax

(201) 558-9601

NPI assigned

May 27, 2011

Organization subpart

No

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

Authorized official

Name

Yeugeniya Gelman, DDS

Title

President

Phone

(347) 269-7871

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1376836056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 BERGENLINE AVE",
            "address_2": "2ND FLOOR",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070934670",
            "telephone_number": "201-558-9600",
            "fax_number": "201-558-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5526 BERGENLINE AVE",
            "address_2": "2ND FLOOR",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070934670",
            "telephone_number": "201-558-9600",
            "fax_number": "201-558-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "YEUGENIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-269-7871",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI0200200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in West New York, NJ
• Providers in West New York, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.