Active NPIIndividual provider

Kristina M Ceravolo

Dentist in Irvington, New Jersey

NPI Number1154062883
Practice location
2 Washington Ave, Irvington, NJ 07111-3550
Fax
—
Last updated
May 11, 2026

Kristina Mackenzie Ceravolo is a Dentist based in Irvington, NJ. Kristina Mackenzie Ceravolo practices in Irvington, NJ. The NPI Number for Kristina Mackenzie Ceravolo is 1154062883 and holds a License No. 063885 (NY). The current practice location address for Kristina Mackenzie Ceravolo is 2 Washington Ave, Irvington, NJ 07111-3550 and can be reached out via phone at 973-926-5306.

Provider Profile Details

NPI Number
1154062883
Provider Name
Kristina Mackenzie Ceravolo
Provider Entity Type
Individual
Gender
Female
Address
2 Washington Ave, Irvington, NJ 07111-3550
Phone Number
973-926-5306
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2022
Last Update Date
May 11, 2026
Certification Date
May 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Washington Ave
Irvington, NJ 07111-3550
Zip
07111-3550
Phone Number
973-926-5306
Irvington, NJ 07111Get directions →

Provider Business Mailing Address Details

Address
722-724 Adams St Apt 9
Hoboken, NJ 07030-2878
City
Hoboken
State
NJ
Zip
07030-2878
Phone Number
315-256-8181

License Information

License Number (1)
063885
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02954300
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristina M Ceravolo?

The NPI number of Kristina M Ceravolo is 1154062883. It was assigned on April 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Kristina M Ceravolo?

Kristina M Ceravolo is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 063885.

Where does Kristina M Ceravolo practice?

The practice location is 2 Washington Ave, Irvington, NJ 07111-3550. The office can be reached at 973-926-5306 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154062883 directly on the NPPES registry website.

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