Organization Active NPI

Bergenline Smiles PC

  • General Practice Dentistry
  • Union City, NJ
National Provider Identifier
1962322081
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BERGENLINE SMILES PC
Practice address
4003 Bergenline Ave Unit B
Union City, NJ 07087-5277
Phone
(917) 797-8052
NPI assigned
Jul 18, 2026
Last updated
Jul 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Authorized official

Name
Dr. Dmitriy Volotsenko, DDS
Title
President
Phone
(917) 797-8052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4003 Bergenline Ave Unit B
Union City, NJ 07087-5277

Mailing address

4003 Bergenline Ave
Union City, NJ 07087-5277

National Provider Directory

National Provider Directory

Locations

4003 Bergenline Ave
Unit B
Union City, NJ 07087

NPI Registry JSON

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

{
    "created_epoch": "1784332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784332800000",
    "number": "1962322081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 BERGENLINE AVE UNIT B",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875277",
            "telephone_number": "917-797-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGENLINE SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-18",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A",
        "authorized_official_last_name": "VOLOTSENKO",
        "authorized_official_first_name": "DMITRIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-797-8052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; 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.