Tower Plaza Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

License

22424 Issued in NJ

Legal business name

TOWER PLAZA DENTISTRY PC

Practice address

4100 Park Ave
Weehawken, NJ 07086

Phone

(201) 348-1616

Fax

(201) 348-4877

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Lena Khaylomsky, DMD

Title

Owner

Phone

(201) 348-1616

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lena Khaylomsky DMD Other name

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487635967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 PARK AVE",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "07086",
            "telephone_number": "201-348-1616",
            "fax_number": "201-348-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 PARK AVE",
            "city": "WEEHAWKEN",
            "state": "NJ",
            "postal_code": "07086",
            "telephone_number": "201-348-1616",
            "fax_number": "201-348-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER PLAZA DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAYLOMSKY",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-348-1616",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038792",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lena Khaylomsky DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Weehawken, NJ
• Providers in Weehawken, NJ by specialty
• Dentist in New Jersey

• 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.