Larisa Ilyutovich DDS PC
NPI 1609954064ActiveOrganization· Dentist, General Practice· Fort Lee, NJ
Dentist, General Practice in Fort Lee, New Jersey, registered in NPPES in November 2006. The authorized official on file is Larisa Ilyutovich, DDS, President Owner.
Overview
| NPI | 1609954064 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DI020299 | NJ |
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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