Active NPI
All Quality Dental LLP
- General Practice Dentistry
- Elizabeth, NJ
National Provider Identifier
1578788576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22D102207500
- Legal business name
- ALL QUALITY DENTAL LLP
- Practice address
- 65 Jefferson Ave
Elizabeth, NJ 07201-2474 - Phone
- (908) 527-8688
- Fax
- (908) 527-9399
- NPI assigned
- Apr 16, 2007
- 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
- Grigoriy Yusupov, DDS
- Title
- DDS General Dentist
- Phone
- (908) 527-8688
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22D102207500 | NJ | Primary |
Addresses
Primary practice location
65 Jefferson Ave
Elizabeth, NJ 07201-2474
Mailing address
65 Jefferson Ave
Elizabeth, NJ 07201-2474
Phone (908) 527-8688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9070109 | Medicaid | NJ | |
| 9069909 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- All Quality Dental LLP
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Elizabeth, NJ
- NPI 1952511651
Locations
65 Jefferson Ave
Elizabeth, NJ 07201
Phone (908) 469-9100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578788576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 JEFFERSON AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012474",
"telephone_number": "908-527-8688",
"fax_number": "908-527-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 JEFFERSON AVE",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012474",
"telephone_number": "908-527-8688",
"fax_number": "908-527-9399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL QUALITY DENTAL LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YUSUPOV",
"authorized_official_first_name": "GRIGORIY",
"authorized_official_title_or_position": "DDS GENERAL DENTIST",
"authorized_official_telephone_number": "908-527-8688",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22D102207500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9070109",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9069909",
"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 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.