VICTORIA S. PEDOEEM, DDS (NPI# 1023188455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023188455 |
| Entity Type | Organization |
| Organization Name | VICTORIA S. PEDOEEM, DDS |
| Practice Address |
3426 Kennedy Blvd. Jersey City NJ 07307 |
| Practice Telephone | 2012179670 |
| Practice Fax Number | 2012179671 |
| Mailing Telephone | 2012179670 |
| Mailing Fax Number | 2012179671 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VICTORIA S PEDOEEM (PRESIDENT OWNER) |
| Authorized Official Telephone | 2012179670 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DI16997 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2105501 | 05 |
| Street Address |
3426 KENNEDY BLVD. |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1497222095 | M.e.t.s. Charter School | Local Education Agency (LEA) | M.e.t.s. Charter School, 211 Sherman Street, Jersey City, NJ 07307 | 2018-11-01 |
| 1255704540 | Caringhouse Projects, Inc | Respite Care | 1089 Summit Avenue, Apt 6, Jersey City, NJ 07307 | 2015-11-09 |
| 1114390739 | Pei Lin, Md | Otolaryngology | 3624 Jfk Blvd, Jersey City, NJ 07307 | 2015-11-04 |
| 1700259330 | Ruju Shah | Physical Therapist | 151 Bleecker St, Apt 6, Jersey City, NJ 07307 | 2015-11-04 |
| 1750780656 | Mariam Marzouk | Psychologist | 224 Bowers Street, Jersey City, NJ 07307 | 2014-08-15 |
| 1063820462 | Briones Family Dental, Inc. | Dentist | 3592 John F. Kennedy Blvd, Jersey City, NJ 07307 | 2014-07-29 |
| 1295159713 | Anukriti Mehta | Pharmacist | 1212 Summit Avenue, Jersey City, NJ 07307 | 2014-02-05 |
| 1033552872 | Diana Lorena Ceron | Marriage & Family Therapist | 147 Columbian Turnpike, Suit 307, Florham Park, NJ 07307 | 2013-04-11 |
| 1104162767 | Khurram Saleem Malik | Internal Medicine | 126 Terrace Ave, Jersey City, NJ 07307 | 2012-12-28 |
| Find all providers in zip 07307 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463086 | Mina Youssef | Dentist | 821 Bergen Ave Apt B2, Jersey City, NJ 07306-4522 | 2020-09-28 |
| 1669080958 | Ethan Kwangwon Kong | Dentist | 2935 John F Kennedy Blvd Apt 713, Jersey City, NJ 07306-3882 | 2020-07-22 |
| 1043863038 | Khalid Sky Dermoumi | Dentist | 1 Albert Pl, Jersey City, NJ 07305-3915 | 2019-07-19 |
| 1467939793 | Vinh Q Ly | Dentist | 3630 John F Kennedy Blvd, Jersey City, NJ 07307-3204 | 2018-07-19 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1376994814 | Kamy Mehta | Dentist | 100 Newkirk St Apt 7g, Jersey City, NJ 07306-3197 | 2016-06-27 |
| 1184054645 | Modern Family Dentistry | Dentist | 551 Jersey Ave, Ground Floor, Jersey City, NJ 07302-2788 | 2013-11-20 |
| 1801161815 | Freeman & Freeman,p.c | Dentist | 2403 Kennedy Blvd, Jersey City, NJ 07304-1909 | 2012-03-09 |
| 1124311337 | Anjali Aggarwal | Dentist | 33-1606 Hudson St, Jersey City, NJ 07302-6524 | 2011-05-20 |
| 1982996641 | Min Park | Dentist | 270 Marin Blvd Apt 11q, Jersey City, NJ 07302-3680 | 2011-05-12 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07307 |
Please comment or provide details below to improve the information on VICTORIA S. PEDOEEM, DDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.