BLVD ORTHODONTICS LLC
NPI 1619855947
Dentist - Orthodontics and Dentofacial Orthopedics in Lakewood, NJ

Active since August 25, 2025
500 BOULEVARD OF THE AMERICAS, STE 105, LAKEWOOD, NJ 08701(848) 228-2583 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Blvd Orthodontics Llc NPPES

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

BLVD ORTHODONTICS LLC (NPI 1619855947) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Lakewood, New Jersey and active in the NPI registry since August 2025. The organization lists Mordechai Fried, Owner/ Dentist, as its authorized official.

NPPES Registry Identity

NPI1619855947
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameBLVD ORTHODONTICS LLC
Location Address500 BOULEVARD OF THE AMERICAS, STE 105Lakewood, NJ 08701
Mailing Address500 Boulevard Of The Americas, Suite 105Lakewood, NJ 08701 · (848) 228-2583
Organization SubpartNo
Authorized OfficialMordechai FriedOwner/ Dentist · (516) 850-4045
Enumeration DateAugust 25, 2025
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1619855947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
500 BOULEVARD OF THE AMERICAS, Lakewood, NJ 08701

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)

Blvd Orthodontics Llc 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 Blvd Orthodontics LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Orthodontics and Dentofacial Orthopedics
NPI 1992320378
67 STATE ROUTE 36
West Long Branch, NJ 07764
(848) 228-2583
✔ PECOS25 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 Blvd Orthodontics LLC's NPI number?

The NPI number for Blvd Orthodontics LLC is 1619855947. It was assigned to this organization in the NPPES registry on August 25, 2025.

Where is Blvd Orthodontics LLC located?

Blvd Orthodontics LLC is located at 500 Boulevard Of The Americas Ste 105, Lakewood, NJ 08701. The listed phone number is (848) 228-2583.

What is Blvd Orthodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Blvd Orthodontics LLC enrolled in Medicare?

Yes. Blvd Orthodontics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blvd Orthodontics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthodontics and Dentofacial Orthopedics) reassigns their Medicare billing to Blvd Orthodontics LLC. 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 Blvd Orthodontics LLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.