Dr Jennifer Marie Georgiadis, DDS is a
Dentist - Periodontics based in Haskell, New Jersey. Dr Jennifer Marie Georgiadis is licensed to practice in New Jersey (license number 22DI02753800) and her current practice location is
909 Ringwood Ave, Haskell, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(973) 839-3434.
NPI number for Dr Jennifer Marie Georgiadis is 1497311823 and her current mailing address is 615 Pavonia Ave Apt 3208, Jersey City, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497311823.
Healthcare Provider's Profile
Full Name | Dr Jennifer Marie Georgiadis |
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Gender | Female |
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Speciality | Dentist - Periodontics |
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Location | 909 Ringwood Ave, Haskell, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497311823
- Provider Enumeration Date: 05/10/2019
- Last Update Date: 05/10/2019
Medical Identifiers
Medical identifiers for Dr Jennifer Marie Georgiadis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497311823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0300X | Dentist - Periodontics | 22DI02753800 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Marie Georgiadis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jennifer Marie Georgiadis, DDS 615 Pavonia Ave Apt 3208, Jersey City, NJ 07306-2958 Ph: (917) 576-4731 | Dr Jennifer Marie Georgiadis, DDS 909 Ringwood Ave, Haskell, NJ 07420-1343 Ph: (973) 839-3434 |
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