Prohealth Riverside Dental, LLC
NPI 1538621305ActiveOrganization· Dentist, General Practice· Hoboken, NJ
Dentist, General Practice in Hoboken, New Jersey, registered in NPPES in April 2019, part of Prohealth Riverside Dental, LLC. The authorized official on file is Natalya Korobeynyk, Rcm.
Overview
| NPI | 1538621305 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prohealth Riverside Dental, LLC |
| NPI issued | Apr 2, 2019 |
| Last updated in NPPES | Feb 21, 2023 |
| Certified by provider | Feb 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist | 122300000X | — | — |
| Dentist, Periodontics | 1223P0300X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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 |
|---|
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