Active NPI
Zlata Bavli DDS PC
- Dentist
- Elizabeth, NJ
National Provider Identifier
1407967086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI19395
- Legal business name
- ZLATA BAVLI DDS PC
- Practice address
- 1000 South Elmora Ave
Z Bavli DDS PC
Elizabeth, NJ 07202 - Phone
- (908) 436-0100
- Fax
- (908) 436-0295
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zlata G Bavli, DDS
- Title
- Owner Officer
- Phone
- (908) 436-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI19395 | NJ | Primary |
Addresses
Primary practice location
1000 South Elmora Ave
Z Bavli DDS PC
Elizabeth, NJ 07202
Mailing address
1000 South Elmora Ave
Suite 1E Zhata Bavli DDS PC
Elizabeth, NJ 07202
Phone (908) 436-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7277601 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
1000 S Elmora Ave
#Z
Elizabeth, NJ 07202
Phone (908) 436-0100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Elizabeth, NJ
- NPI 1164446126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1407967086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SOUTH ELMORA AVE",
"address_2": "SUITE 1E ZHATA BAVLI DDS PC",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "07202",
"telephone_number": "908-436-0100",
"fax_number": "908-436-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SOUTH ELMORA AVE",
"address_2": "Z BAVLI DDS PC",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "07202",
"telephone_number": "908-436-0100",
"fax_number": "908-436-0295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZLATA BAVLI DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "BAVLI",
"authorized_official_first_name": "ZLATA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER OFFICER",
"authorized_official_telephone_number": "908-436-0100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NJ",
"license": "DI19395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7277601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.