Eastern Dental of Elmwood Park, LLC
NPI 1013833284ActiveOrganization· Dentist, General Practice· Elmwood Park, NJ
Dentist, General Practice in Elmwood Park, New Jersey, registered in NPPES in June 2026. The authorized official on file is Alex Petrik, General Counsel.
Overview
| NPI | 1013833284 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2026 |
| Last updated in NPPES | Jun 24, 2026 |
| Certified by provider | Jun 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Elmwood Park
- 1396835179
- 1598914921
- 1194887109
- 1518962554
- 1619167293
- 1417910183
- 1548234214
- 1710326798
- 1053527150