Blvd Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BLVD ORTHODONTICS LLC

Practice address

500 Boulevard of the Americas
Ste 105
Lakewood, NJ 08701

Phone

(848) 228-2583

NPI assigned

Aug 25, 2025

Last updated

Nov 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mordechai Fried, DMDNPI 1992320378

Title

Owner/ Dentist

Phone

(516) 850-4045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mordechai Fried

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Long Branch, NJ
  • NPI 1992320378
  Medicare reassignment NPD Authorized official
• Chaim Adler, DDS

  • Dentist
  • Airmont, NY
  • NPI 1083186357
  NPD
• Yakov S Eisenberger, D.D.S; MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brooklyn, NY
  • NPI 1902815244
  NPD

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1619855947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOULEVARD OF THE AMERICAS",
            "address_2": "SUITE 105",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "848-228-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BOULEVARD OF THE AMERICAS",
            "address_2": "STE 105",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "848-228-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLVD ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "516-850-4045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluemark Rehab LLC
• Leah Blum, RDN
• Tobi Blumenfeld, RDN
• Yehudis M Blumenfrucht, M.S.
• Esther M Blumenkrantz
• Chinyelu Boateng
• Gitty Leah Bochner
• Yehudis Bochner
• Deena Michelle Bodenheim, MS SLP
• Devorah Bodner Fuchs

• Orthodontics and Dentofacial Orthopedics Dentistry in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.