Natalie Svetlakov, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02344200 Issued in NJ

Practice address

705 Main St
Hackensack, NJ 07601-4722

Phone

(201) 342-1362

Fax

(201) 342-1372

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1679619225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014722",
            "telephone_number": "201-342-1362",
            "fax_number": "201-342-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014722",
            "telephone_number": "201-342-1362",
            "fax_number": "201-342-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVETLAKOV",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02344200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umara Khanam Suri, PA
• Balaji Sutharsanam, M.D.
• Pamela Ruth Sutherland, RN, MSN, APN-BC
• Rebecca Sutton, MS, CGC, LGC
• Erik D Svensson, M.D.
• Mary Swajian, DO, DO
• Michelle Patricia Sweeney, RD
• Amina Raza Syed, MD
• Saima Ijaz Syed, DMD
• Syncere Consultants, Inc.

• General Practice Dentistry in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.