Nicolas Elian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI17929 Issued in NJ

Legal business name

NICOLAS ELIAN, DDS

Practice address

2185 Lemoine Ave
Fort Lee, NJ 07024-6036

Phone

(201) 592-1676

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Nicolas Elian, D.D.S.

Title

Owner

Phone

(201) 592-1676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427250828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246036",
            "telephone_number": "201-592-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS ELIAN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELIAN",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-592-1676",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI17929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.