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LARISA ILYUTOVICH
NPI 1780033225
Dentist - General Practice in Fort Lee, NJ

Active since June 06, 2016
301 BRIDGE PLZ N, SUITE 2, FORT LEE, NJ 07024(201) 346-4660(201) 346-1116 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larisa Ilyutovich NPPES

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

LARISA ILYUTOVICH (NPI 1780033225) is an individual general practice provider in Fort Lee, New Jersey, licensed in New Jersey (DI020299) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1780033225
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameLARISA ILYUTOVICH
Location Address301 BRIDGE PLZ N, SUITE 2Fort Lee, NJ 07024-5059
Mailing Address301 Bridge Plz N, Suite 2Fort Lee, NJ 07024-5059 · (201) 346-4660 · Fax (201) 346-1116
Phone(201) 346-4660
Fax(201) 346-1116
Sole ProprietorYes
Enumeration DateJune 6, 2016
✔ NPI 1780033225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · DI020299
Definition
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.
301 BRIDGE PLZ N, Fort Lee, NJ 07024
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Other Identifiers 1

Medicaid8797404NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLGA MICHAUD D.D.S.
Dentist (Periodontics)
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Bergen County (201) 346-4660
DR. HARRISON LEIGH ROSENBERG OD
Optometrist
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Bergen County (201) 944-6440
RHONDA BETSY ROSENBERG M.D.
Ophthalmology
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Bergen County (201) 941-0562
MIHEE SUH DPT
Physical Therapist
301 BRIDGE PLZ N, FORT LEE PHYSICAL THERAPY
FORT LEE, NJ 07024
Bergen County (201) 585-7300
MICHAEL DWYER DPT
Physical Therapist
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Bergen County (201) 585-7300
DR. DAVID H HENICK M.D.
Specialist
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Bergen County (201) 592-8200
HACKENSACK MERIDIAN OUTPATIENT SERVICES, INC.
Physical Therapist
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Bergen County (848) 308-5453
MICHAEL ERIC ROSENBERG M.D.
Ophthalmology
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Bergen County (201) 947-5929

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 Larisa Ilyutovich's NPI number?

The NPI number for Larisa Ilyutovich is 1780033225. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Larisa Ilyutovich located?

Larisa Ilyutovich practices at 301 Bridge Plz N Suite 2, Fort Lee, NJ 07024. The listed phone number is (201) 346-4660.

What is Larisa Ilyutovich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Larisa Ilyutovich accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Larisa Ilyutovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larisa Ilyutovich was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.