Active NPIOrganization

Aba Pediatric, LLC

Dentist, Pediatric Dentistry in Jersey City, New Jersey

NPI Number1568686384
Practice location
35 Journal Sq Ste 601, Jersey City, NJ 07306-4011
Fax
201-386-0356
Last updated
August 22, 2020

Aba Pediatric, LLC is a healthcare organization based in Jersey City, NJ. Aba Pediatric, LLC practices in Jersey City, NJ. The NPI Number for Aba Pediatric, LLC is 1568686384 and holds a License No. 22DI01990900 (NJ). The current practice location address for Aba Pediatric, LLC is 35 Journal Sq Ste 601, Jersey City, NJ 07306-4011 and can be reached out via phone at 201-386-0353 and via fax at 201-386-0356.

Provider Profile Details

NPI Number
1568686384
Provider Name
Aba Pediatric, LLC
Provider Entity Type
Organization
Address
35 Journal Sq Ste 601, Jersey City, NJ 07306-4011
Phone Number
201-386-0353
Fax Number
201-386-0356
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dmitry Shtilman, DDS · Dentist · 201-386-0353
Provider Enumeration Date
April 12, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Journal Sq Ste 601
Jersey City, NJ 07306-4011
Zip
07306-4011
Phone Number
201-386-0353
Fax Number
201-386-0356
Jersey City, NJ 07306Get directions →

Provider Business Mailing Address Details

Address
35 Journal Sq
Suite 601
Jersey City, NJ 07306-4011
City
Jersey City
State
NJ
Zip
07306-4011
Phone Number
201-386-0353
Fax Number
201-386-0356

License Information

License Number
22DI01990900
License State
NJ
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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 Aba Pediatric, LLC?

The NPI number of Aba Pediatric, LLC is 1568686384. It was assigned on April 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Aba Pediatric, LLC?

Aba Pediatric, LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI01990900.

Where does Aba Pediatric, LLC practice?

The practice location is 35 Journal Sq Ste 601, Jersey City, NJ 07306-4011. The office can be reached at 201-386-0353 (phone) or 201-386-0356 (fax).

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 1568686384 directly on the NPPES registry website.

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