Annia Le Goff, DDS, MS, MPH

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI02597800 Issued in NJ

Practice address

5918 Bergenline Ave Ste 201B
West New York, NJ 07093-1392

Phone

(201) 662-0662

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bergenline Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West New York, NJ
  • NPI 1588810410
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1982004297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 E 6TH ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111742",
            "telephone_number": "973-800-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 BERGENLINE AVE STE 201B",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931392",
            "telephone_number": "201-662-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE GOFF",
        "first_name": "ANNIA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02597800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prerana Lamba
• Marko Lamela, LAC
• Elvis Lamotte Velez, PHYSICAL THERAPIST
• Rafael Latorre, M.D.
• Ilene Caren Laufer, M.D.
• Jieun Lee
• Sarah Lee, PHARMD
• Sumin Lee
• Young J Lee, MT-BC
• Lens Lab Express of 5917 Bergenline

• Orthodontics and Dentofacial Orthopedics Dentistry in West New York, NJ
• Providers in West New York, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.