Organization Active NPI

Anna Ellerin DDS PA

  • General Practice Dentistry
  • Westwood, NJ
National Provider Identifier
1669182580
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANNA ELLERIN DDS PA
Practice address
189 Kinderkamack Rd Ste a
Westwood, NJ 07675-2289
Phone
(201) 664-2419
Fax
(201) 664-2906
NPI assigned
Dec 1, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Dr. Anna Ellerin, DDSNPI 1154520054
Title
Owner
Phone
(917) 743-8155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

189 Kinderkamack Rd Ste a
Westwood, NJ 07675-2289

Mailing address

189 Kinderkamack Rd Ste a
Westwood, NJ 07675-2289
Phone (201) 664-2419

National Provider Directory

National Provider Directory

Locations

189 Kinderkamack Rd
Ste A
Westwood, NJ 07675
Phone (201) 664-2419

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1669182580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 KINDERKAMACK RD STE A",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752289",
            "telephone_number": "201-664-2419",
            "fax_number": "201-664-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 KINDERKAMACK RD STE A",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752289",
            "telephone_number": "201-664-2419",
            "fax_number": "201-664-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA ELLERIN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "ELLERIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-743-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.