MEDICARE: ORTHODONTICS CENER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437617115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHODONTICS CENER

Provider Business Mailing Address
First Line	:	79 HUDSON ST STE 201
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-5640
Country	:	US
Telephone Number	:	551-900-6200
Fax Number	:	551-900-6205

Provider Business Practice Location Address
First Line	:	79 HUDSON ST STE 201
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-5640
Country	:	US
Telephone Number	:	551-900-6200
Fax Number	:	551-900-6205

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MS. LISA FERMIN
Credential	:
Telephone Number	:	551-900-6200

Provider Enumeration Date	:	03/12/2019
Last Update Date	:	06/11/2019

Similar Medicare Providers

1730034216 — CLARA FAJARDO PSYCHOLOGY
Practice Location Address:

79 HUDSON ST STE 105LL
HOBOKEN, NJ
07030-5640

Practice Phone: 646-389-1664
Practice Fax:

1518099175 — DR. LINDA CHUANG MD
Practice Location Address:

79 HUDSON ST STE 203
HOBOKEN, NJ
07030-5640

Practice Phone: 201-222-8819
Practice Fax:

1174745798 — NATURAL REMEDIES LLC
Practice Location Address:

79 HUDSON STREET , SUITE 104LL
HOBOKEN, NJ
07030-5640

Practice Phone: 201-420-0846
Practice Fax: 201-420-0158

1275842890 — ARADHNA BEHL
Practice Location Address:

79 HUDSON ST STE 104LL
HOBOKEN, NJ
07030-5640

Practice Phone: 201-420-0846
Practice Fax: 314-923-4444

1235944596 — INTHERAPY INSTITUTE LLC
Practice Location Address:

80 RIVER ST STE 3E1
HOBOKEN, NJ
07030-5626

Practice Phone: 201-677-5242
Practice Fax:

1760487649 — DR. WILLIAM JAY LIPKIN D.P.M.
Practice Location Address:

500 BLOOMFIELD ST
HOBOKEN, NJ
07030-4911

Practice Phone: 201-656-4608
Practice Fax: 201-656-4633

Directions to “ORTHODONTICS CENER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.