Active NPIIndividual providerSole proprietor

Ella Korobova, DDS

Dentist, General Practice in Bayonne, New Jersey

NPI Number1710102975
Practice location
473 Broadway, Suite 200, Bayonne, NJ 07002-3697
Fax
201-339-0801
Last updated
July 9, 2007

Ella Korobova is a Dentist, General Practice based in Bayonne, NJ. Ella Korobova practices in Bayonne, NJ and has the professional credentials of DDS. The NPI Number for Ella Korobova is 1710102975 and holds a License No. DI02201 (NJ). The current practice location address for Ella Korobova is 473 Broadway, Suite 200, Bayonne, NJ 07002-3697 and can be reached out via phone at 201-339-7275 and via fax at 201-339-0801.

Provider Profile Details

NPI Number
1710102975
Provider Name
Ella Korobova
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
473 Broadway, Suite 200, Bayonne, NJ 07002-3697
Phone Number
201-339-7275
Fax Number
201-339-0801
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
April 14, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
473 Broadway
Suite 200
Bayonne, NJ 07002-3697
Zip
07002-3697
Phone Number
201-339-7275
Fax Number
201-339-0801
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
5A Orchard St
Millburn, NJ 07041-1109
City
Millburn
State
NJ
Zip
07041-1109
Phone Number
201-339-7275
Fax Number
201-339-0801

License Information

License Number
DI02201
License State
NJ
Taxonomy
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 Ella Korobova, DDS?

The NPI number of Ella Korobova, DDS is 1710102975. It was assigned on April 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Ella Korobova, DDS?

Ella Korobova, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI02201.

Where does Ella Korobova, DDS practice?

The practice location is 473 Broadway, Suite 200, Bayonne, NJ 07002-3697. The office can be reached at 201-339-7275 (phone) or 201-339-0801 (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 1710102975 directly on the NPPES registry website.

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