Painlessdds PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI02013400 Issued in NJ

Legal business name

PAINLESSDDS PC

Practice address

1625 Anderson Ave
Suite 202
Fort Lee, NJ 07024-2748

Phone

(201) 224-9444

NPI assigned

Apr 12, 2016

Last updated

Apr 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julia Igdalev, DDSNPI 1417950171

Title

Owner

Phone

(201) 224-9444

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Igdalev, DDS

  • Dentist
  • Fort Lee, NJ
  • NPI 1417950171
  NPD (past) Authorized official
• Igor Igdalev, D.M.D

  • General Practice Dentistry
  • Fort Lee, NJ
  • NPI 1821471897
  NPD (past)

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1942664297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ANDERSON AVE",
            "address_2": "SUITE 202",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242748",
            "telephone_number": "201-224-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ANDERSON AVE",
            "address_2": "SUITE 202",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242748",
            "telephone_number": "201-224-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINLESSDDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "IGDALEV",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-224-9444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02013400",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02604300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainer Andreas Orth, LCSW
• Orthomd LLC
• Mark F Ortiz, P.T.A.
• Ostelsen
• Elaine Sumire Otsuka, D.M.D.
• Gloria J Pak, PHARM D
• Hong Sik Pak, M.D.
• Neetha Devassy Palatty, RPH
• Palisade Anesthesia, LLC
• Palisade Plastic Surgery Associates PC

• Dental Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, 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 Apr 12, 2016; 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.