Eudoro Vallejo, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI19090 Issued in NJ

Practice address

75 Essex St
Suite 110
Hackensack, NJ 07601-4036

Phone

(201) 457-9595

Fax

(201) 457-9505

NPI assigned

Oct 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770666943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ESSEX ST",
            "address_2": "SUITE 110",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014036",
            "telephone_number": "201-457-9595",
            "fax_number": "201-457-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ESSEX ST",
            "address_2": "SUITE 110",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014036",
            "telephone_number": "201-457-9595",
            "fax_number": "201-457-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "EUDORO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI19090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monet Rose Vala, PA-C
• Victor Valda, MD
• Karen Valdez-Gonzalez, M.S.
• Anitha Valel
• Nilda Natasha Valenzuela, MD
• Vallejo A Vallejo, RPH
• Jordan Grant Van Beever, M.D.
• Nancy Van Buitenen, CCRN APN C
• Dylan Garrett Vance, MD
• Kelsey Vander Werff, ATC

• 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 Jul 8, 2007; 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.