Aba Pediatric, Llc

LBN: Aba Pediatric, Llc
Aba Pediatric, Llc is an health care organization with primary practice located at 35 Journal Sq Ste 601 , Jersey City NJ 07306-4011. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Aba Pediatric, Llc can be contacted via phone (201) 386-0353, or through Shtilman, Dmitry via phone (201) 386-0353.

Contact Information

Primary practice address
35 Journal Sq Ste 601 Jersey City NJ 07306-4011
Fax: (201) 386-0356
Website:
Authorized official contact:
Name: Shtilman, Dmitry Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 22DI01990900 New Jersey

Profile Details

NPI number 1568686384
LBN Legal business name Aba Pediatric, Llc
DBA Doing business as
Authorized official Shtilman, Dmitry Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568686384 NPPES
New Jersey MEDICAID 7698704

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