Individual provider Active NPI

Liya Ostrow, DMD

  • Pediatric Dentistry
  • Freehold, NJ
National Provider Identifier
1811122062
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS037350 Issued in NJ
Practice address
4249 US Highway 9 Ste a
Freehold, NJ 07728-8308
Phone
(732) 625-8080
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS037350 NJ Primary

Addresses

Primary practice location

4249 US Highway 9 Ste a
Freehold, NJ 07728-8308

Mailing address

2001 Hamilton St Apt 2005
Philadelphia, PA 19130-4208
Phone (718) 288-9544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 18, 2016 through May 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS037350NJMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Smiles 4 Kids of Monmouth, LLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1811122062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HAMILTON ST APT 2005",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304208",
            "telephone_number": "718-288-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 US HIGHWAY 9 STE A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288308",
            "telephone_number": "732-625-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROW",
        "first_name": "LIYA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "DS037350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.