Elizaveta Malinina, DMD is a
Student In An Organized Health Care Education/training Program based in Lyons, New Jersey. Elizaveta Malinina is licensed to practice in * (Not Available) (license number ) and her current practice location is
151 Knollcroft Rd, Lyons, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(908) 647-0180.
NPI number for Elizaveta Malinina is 1104276088 and her current mailing address is 36 Hawthorne Pl Apt 2a, Montclair, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104276088.
Healthcare Provider's Profile
| Full Name | Elizaveta Malinina |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 151 Knollcroft Rd, Lyons, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104276088
- Provider Enumeration Date: 06/21/2016
- Last Update Date: 07/25/2022
Medical Identifiers
Medical identifiers for Elizaveta Malinina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104276088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN1857677 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Elizaveta Malinina 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 |
|---|
Elizaveta Malinina, DMD
36 Hawthorne Pl Apt 2a,
Montclair, NJ 07042-3243
Ph: () - | Elizaveta Malinina, DMD
151 Knollcroft Rd,
Lyons, NJ 07939-5001
Ph: (908) 647-0180 |
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