Active NPIOrganization

Prohealth Riverside Dental, LLC

Dentist, General Practice in Hoboken, New Jersey

NPI Number1538621305
Practice location
1400 Hudson St # 2, Hoboken, NJ 07030-5686
Fax
—
Last updated
February 21, 2023

Prohealth Riverside Dental, LLC is a healthcare organization based in Hoboken, NJ. Prohealth Riverside Dental, LLC practices in Hoboken, NJ. The NPI Number for Prohealth Riverside Dental, LLC is 1538621305. The current practice location address for Prohealth Riverside Dental, LLC is 1400 Hudson St # 2, Hoboken, NJ 07030-5686 and can be reached out via phone at 201-740-2700.

Provider Profile Details

NPI Number
1538621305
Provider Name
Prohealth Riverside Dental, LLC
Provider Entity Type
Organization
Address
1400 Hudson St # 2, Hoboken, NJ 07030-5686
Phone Number
201-740-2700
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
Yes
Parent Organization
Prohealth Riverside Dental, LLC
Authorized Official
Natalya Korobeynyk · Rcm · 516-654-4400
Provider Enumeration Date
April 2, 2019
Last Update Date
February 21, 2023
Certification Date
February 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1400 Hudson St # 2
Hoboken, NJ 07030-5686
Zip
07030-5686
Phone Number
201-740-2700
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
3333 New Hyde Park RD Ste 310
New Hyde Park, NY 11042-1205
City
New Hyde Park
State
NY
Zip
11042-1205
Phone Number
516-654-4400

License Information

Taxonomy (1)
Dentist · 122300000X
Taxonomy (2)
Dentist, Periodontics · 1223P0300X
Taxonomy (4)
Dentist, General Practice · 1223G0001X · 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 Prohealth Riverside Dental, LLC?

The NPI number of Prohealth Riverside Dental, LLC is 1538621305. It was assigned on April 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Prohealth Riverside Dental, LLC?

Prohealth Riverside Dental, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Prohealth Riverside Dental, LLC practice?

The practice location is 1400 Hudson St # 2, Hoboken, NJ 07030-5686. The office can be reached at 201-740-2700 (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 1538621305 directly on the NPPES registry website.

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