Active NPI
Olga Mishilevski, DDS
- Dentist
- Newark, NJ
National Provider Identifier
1972725166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02100301
- Practice address
- 290 Ferry St
Suite B2
Newark, NJ 07105-3475 - Phone
- (973) 817-8888
- Fax
- (973) 465-1955
- NPI assigned
- May 3, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02100301 | NJ | Primary |
Addresses
Primary practice location
290 Ferry St
Suite B2
Newark, NJ 07105-3475
Mailing address
290 Ferry St
Suite B2
Newark, NJ 07105-3475
Phone (973) 817-8888
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 |
|---|---|---|---|
| 22DI02100301 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972725166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 FERRY ST",
"address_2": "SUITE B2",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071053475",
"telephone_number": "973-817-8888",
"fax_number": "973-465-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 FERRY ST",
"address_2": "SUITE B2",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071053475",
"telephone_number": "973-817-8888",
"fax_number": "973-465-1955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHILEVSKI",
"first_name": "OLGA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02100301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.