Active NPIIndividual providerSole proprietor

Dr. Marlen Martirossian, DDS

Dentist, General Practice in River Edge, New Jersey

NPI Number1780734277
Practice location
130 Kinderkamack RD, Suite 306, River Edge, NJ 07661-1939
Fax
201-488-4756
Last updated
July 1, 2021

Marlen Martirossian is a Dentist, General Practice based in River Edge, NJ. Marlen Martirossian practices in River Edge, NJ and has the professional credentials of DDS. The NPI Number for Marlen Martirossian is 1780734277 and holds a License No. 22DI02140900 (NJ). The current practice location address for Marlen Martirossian is 130 Kinderkamack RD, Suite 306, River Edge, NJ 07661-1939 and can be reached out via phone at 201-546-8512 and via fax at 201-488-4756.

Provider Profile Details

NPI Number
1780734277
Provider Name
Marlen Martirossian
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
130 Kinderkamack RD, Suite 306, River Edge, NJ 07661-1939
Phone Number
201-546-8512
Fax Number
201-488-4756
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
January 10, 2007
Last Update Date
July 1, 2021
Certification Date
June 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Kinderkamack RD
Suite 306
River Edge, NJ 07661-1939
Zip
07661-1939
Phone Number
201-546-8512
Fax Number
201-488-4756
River Edge, NJ 07661Get directions →

Provider Business Mailing Address Details

Address
130 Kinderkamack RD
Suite 306
River Edge, NJ 07661-1939
City
River Edge
State
NJ
Zip
07661-1939
Phone Number
201-546-8512
Fax Number
201-488-4756

License Information

License Number
22DI02140900
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 Dr. Marlen Martirossian, DDS?

The NPI number of Dr. Marlen Martirossian, DDS is 1780734277. It was assigned on January 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Marlen Martirossian, DDS?

Dr. Marlen Martirossian, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02140900.

Where does Dr. Marlen Martirossian, DDS practice?

The practice location is 130 Kinderkamack RD, Suite 306, River Edge, NJ 07661-1939. The office can be reached at 201-546-8512 (phone) or 201-488-4756 (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 1780734277 directly on the NPPES registry website.

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