Marlboro Pediatric Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02447000 Issued in NJ

Legal business name

MARLBORO PEDIATRIC DENTISTRY, PC

Practice address

7 S Main St
Suite G
Marlboro, NJ 07746-1578

Phone

(732) 414-6900

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Yana Kozlovsky, DMD

Title

Owner

Phone

(732) 414-6900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1982078762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S MAIN ST",
            "address_2": "SUITE G",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S MAIN ST",
            "address_2": "SUITE G",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461578",
            "telephone_number": "732-414-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "KOZLOVSKY",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-414-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02447000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Wade Mark, D.C.
• Marlboro Family Dental and Foot Care, P.a
• Marlboro Family Eye Care, Inc.
• Marlboro First Aid & Rescue Squad Inc (Marlboro First Aid Squad)
• Marlboro Pediatric Care
• Marlboro Township Board of Ed
• Marlboro Village Pharmacy Inc
• Sandra Masino-Kalinowski, APN
• Julius Shea McAllister, DIRECT SUPPORT
• Car Douglas McClung, PHARMACIST

• Dentist in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.