Blvd Orthodontics LLC
NPI 1619855947ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Lakewood, NJ
Dentist, Orthodontics and Dentofacial Orthopedics in Lakewood, New Jersey, registered in NPPES in August 2025. The authorized official on file is Mordechai Fried, DMD, Owner/ Dentist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619855947 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2025 |
| Last updated in NPPES | Nov 17, 2025 |
| Certified by provider | Nov 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Dentist, Orthodontics and Dentofacial Orthopedics providers in Lakewood
- 1457834327
- 1205853942
- 1942977491
- 1992707897
- 1215249255
- 1871374140
All Dentist, Orthodontics and Dentofacial Orthopedics providers in New Jersey →