Individual provider Active NPI

Helena Devaris, DDS

  • Dentist
  • Fair Lawn, NJ
National Provider Identifier
1679723589
Registry record updated Sep 27, 2008
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Apr 18, 2013.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI013847 Issued in NJ
Practice address
35-08 Morlot Ave
Fair Lawn, NJ 07410-4022
Phone
(201) 797-7476
NPI assigned
Sep 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI013847 NJ Primary

Addresses

Primary practice location

35-08 Morlot Ave
Fair Lawn, NJ 07410-4022

Mailing address

35-08 Morlot Ave
Fair Lawn, NJ 07410-4022
Phone (201) 797-7476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DI013847NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222473600000",
    "number": "1679723589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-08 MORLOT AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104022",
            "telephone_number": "201-797-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-08 MORLOT AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104022",
            "telephone_number": "201-797-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARIS",
        "first_name": "HELENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-27",
        "last_updated": "2008-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI013847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.