Efthimios H Kalavrouziotis, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI 021740 Issued in NJ

Practice address

121 Center Grove Rd
Suite 2
Randolph, NJ 07869-4453

Phone

(973) 328-7732

Fax

(973) 328-1409

NPI assigned

Jan 30, 2007

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

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396882619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD",
            "address_2": "SUITE 2",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-328-7732",
            "fax_number": "973-328-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CENTER GROVE RD",
            "address_2": "SUITE 2",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694453",
            "telephone_number": "973-328-7732",
            "fax_number": "973-328-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAVROUZIOTIS",
        "first_name": "EFTHIMIOS",
        "middle_name": "H",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI 021740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvanne Josaphat, MSN, APRN, FNP-C
• Lisa Vettemvely Joseph, MD
• Jre Ave Maria LLC
• K Simms Physical Therapy
• Ian Howard Kaden, M.D.
• Christine Ursula Kapinos, RPH
• George Peter Kaplan, DMD
• Lauren Jennifer Kaplan, MSAC, LAC
• Phyllis Mona Kaplan, M.S.W., L.C.S.W.
• Randi Karol

• General Practice Dentistry in Randolph, NJ
• Providers in Randolph, NJ by specialty
• General Practice 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.