ADVANCED DENTAL CARE P.C
NPI 1447534755
Dentist in Newark, NJ

Q: What is Advanced Dental Care P.C's NPI number?

The NPI number for Advanced Dental Care P.C is 1447534755. It was assigned to this organization in the NPPES registry on October 5, 2011.

Q: What is Advanced Dental Care P.C's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since October 05, 2011

1212 RAYMOND BLVD, NEWARK, NJ 07102(973) 645-0200 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Advanced Dental Care P.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DENTAL CARE P.C (NPI 1447534755) is a healthcare organization registered as a dentist in Newark, New Jersey and active in the NPI registry since October 2011. The organization lists Inessa Alieva, Manager, as its authorized official.

NPPES Registry Identity

NPI1447534755

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameADVANCED DENTAL CARE P.C

Location Address1212 RAYMOND BLVDNewark, NJ 07102

Mailing Address1212 Raymond BlvdNewark, NJ 07102 · (973) 645-0200

Phone(973) 645-0200

Organization SubpartNo

Authorized OfficialInessa AlievaManager · (973) 645-0200

Enumeration DateOctober 5, 2011

✔ NPI 1447534755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NJ · 220102207500

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1212 RAYMOND BLVD, Newark, NJ 07102

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dental Care P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Dental Care P.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Grigoriy Yusupov, DDS

Dentist

NPI 1023279254

65 JEFFERSON AVENUE
Elizabeth, NJ 07201

(908) 527-8688

✔ PECOS✔ Accepts Medicare5.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Dental Care P.C's NPI number?

The NPI number for Advanced Dental Care P.C is 1447534755. It was assigned to this organization in the NPPES registry on October 5, 2011.

Where is Advanced Dental Care P.C located?

Advanced Dental Care P.C is located at 1212 Raymond Blvd, Newark, NJ 07102. The listed phone number is (973) 645-0200.

What is Advanced Dental Care P.C's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Advanced Dental Care P.C enrolled in Medicare?

Yes. Advanced Dental Care P.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dental Care P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Advanced Dental Care P.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Dental Care P.C was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.