Elizabeth Avenue Dentistry, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22424 Issued in NJ

Legal business name

ELIZABETH AVENUE DENTISTRY, PC

Practice address

643 Elizabeth Ave
Elizabeth, NJ 07206-1131

Phone

(908) 354-0030

Fax

(908) 354-4029

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lena Khaylomsky, DMD

Title

President

Phone

(917) 658-7537

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1851781561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061131",
            "telephone_number": "908-354-0030",
            "fax_number": "908-354-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061131",
            "telephone_number": "908-354-0030",
            "fax_number": "908-354-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH AVENUE DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "KHAYLOMSKY",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-658-7537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aviva Eizik, LCSW
• Elina Eksarko-Bilbili, FNP
• Eldercare of Elizabeth
• Eli Finkelstein MD Associates P.C.
• Elizabeth Avenue Dental Ctr
• Elizabeth Bayway Medical Center, LLC
• Elizabeth Center for Family Medicine PC
• Elizabeth Center for Sleep and TMJ Wellness
• Elizabeth Chemists Inc
• Elizabeth Chiropractic & Rehab, PA

• Dental Clinic/Center in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.