Dr. Elaine S Otsuka, DMD
Dentist, General Practice in Fort Lee, New Jersey
1619194180- Practice location
- 1617 Parker Avenue, Fort Lee, NJ 07024
- Phone
- 201-461-0130
- Fax
- 201-461-8525
- Last updated
- July 8, 2007
Elaine Sumire Otsuka is a Dentist, General Practice based in Fort Lee, NJ. Elaine Sumire Otsuka practices in Fort Lee, NJ and has the professional credentials of DMD. The NPI Number for Elaine Sumire Otsuka is 1619194180 and holds a License No. 22DI01513200 (NJ). The current practice location address for Elaine Sumire Otsuka is 1617 Parker Avenue, Fort Lee, NJ 07024 and can be reached out via phone at 201-461-0130 and via fax at 201-461-8525.
Provider Profile Details
- NPI Number
- 1619194180
- Provider Name
- Elaine Sumire Otsuka
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1617 Parker Avenue, Fort Lee, NJ 07024
- Phone Number
- 201-461-0130
- Fax Number
- 201-461-8525
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 19, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1617 Parker Avenue
Fort Lee, NJ 07024 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024
- Phone Number
- 201-461-0130
- Fax Number
- 201-461-8525
Provider Business Mailing Address Details
- Address
- 1617 Parker Avenue
Fort Lee, NJ 07024 - City
- Fort Lee
- State
- NJ
- Zip
- 07024
- Phone Number
- 201-461-0130
- Fax Number
- 201-461-8525
License Information
- License Number
- 22DI01513200
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Elaine S Otsuka, DMD?
The NPI number of Dr. Elaine S Otsuka, DMD is 1619194180. It was assigned on April 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Elaine S Otsuka, DMD?
Dr. Elaine S Otsuka, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01513200.
Where does Dr. Elaine S Otsuka, DMD practice?
The practice location is 1617 Parker Avenue, Fort Lee, NJ 07024. The office can be reached at 201-461-0130 (phone) or 201-461-8525 (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 1619194180 directly on the NPPES registry website.