Active NPI
Lisa Petoff Mairowitz
- Dental Assistant
- Avon by the Sea, NJ
National Provider Identifier
1902653447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 22DP00650600
- Practice address
- 514 Garfield Ave
Avon by the Sea, NJ 07717-1157 - Phone
- (732) 775-1492
- Fax
- (732) 775-1498
- NPI assigned
- May 2, 2024
- Last updated
- May 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 22DP00650600 | NJ | Primary |
Addresses
Primary practice location
514 Garfield Ave
Avon by the Sea, NJ 07717-1157
Mailing address
514 Garfield Ave
Avon by the Sea, NJ 07717-1157
Phone (732) 775-1492
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DP00650600 | NJ | MD | Dental Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refined Dental PC | Current | Accepting new patients |
Locations
514 Garfield Ave
Avon by the Sea, NJ 07717
Phone (732) 775-1492
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1902653447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 GARFIELD AVE",
"city": "AVON BY THE SEA",
"state": "NJ",
"postal_code": "077171157",
"telephone_number": "732-775-1492",
"fax_number": "732-775-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 GARFIELD AVE",
"city": "AVON BY THE SEA",
"state": "NJ",
"postal_code": "077171157",
"telephone_number": "732-775-1492",
"fax_number": "732-775-1498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETOFF MAIROWITZ",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "NJ",
"license": "22DP00650600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon by the Sea, NJ
- Leslie Diann Meneguzzo, CNM
- Uchenna Pamela Ndukwe Nwosu, DMD
- Joanne Marie Patalano, RN, MSN,APN,C
- Binni Patel, D.M.D.
- Beatriz Perez Cerqueda
- Kersti Raidma
- Refined Dental PC (Shore Dental)
- Sean M. Martin D.M.D, PA. (Avon Dental Arts)
- Mary Elizabeth Sefchek, CD(DONA), LCCE, CLC
- Mahima Singh, B.D.S., D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.