Active NPI
Julia Igdalev, DDS
- Dentist
- Fort Lee, NJ
National Provider Identifier
1417950171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI20134
- Practice address
- 1625 Anderson Ave
Ste 202
Fort Lee, NJ 07024-2748 - Phone
- (201) 224-9444
- Fax
- (201) 224-9422
- NPI assigned
- May 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI20134 | NJ | Primary |
Addresses
Primary practice location
1625 Anderson Ave
Ste 202
Fort Lee, NJ 07024-2748
Mailing address
1625 Anderson Ave
Ste 202
Fort Lee, NJ 07024-2748
Phone (201) 224-9444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160322001100 | NJ | Order and Referring Only - Dentist | 2365749157 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI20134 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Painlessdds PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Fort Lee, NJ
- NPI 1942664297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417950171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 ANDERSON AVE",
"address_2": "STE 202",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242748",
"telephone_number": "201-224-9444",
"fax_number": "201-224-9422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 ANDERSON AVE",
"address_2": "STE 202",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242748",
"telephone_number": "201-224-9444",
"fax_number": "201-224-9422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGDALEV",
"first_name": "JULIA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI20134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.