OrganizationActive
Larisa Ilyutovich DDS PC
NPI 1609954064 · General Practice Dentistry · Fort Lee, NJ
Larisa Ilyutovich DDS PC is a General Practice Dentistry organization in Fort Lee, NJ (NPI 1609954064).
Provider details
- NPI number
- 1609954064
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Larisa Ilyutovich, President Owner(201) 346-4660
- License
- DI020299 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 Bridge Plaza North
2nd Flr
Fort Lee, NJ 07024
Phone: (201) 346-4660
Fax: (201) 346-1116
Street-level locationGet directions
Mailing address
301 Bridge Plaza North
Fort Lee, NJ 07024
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Larisa Ilyutovich DDS PC's NPI number?
- Larisa Ilyutovich DDS PC's National Provider Identifier (NPI) is 1609954064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Larisa Ilyutovich DDS PC?
- Larisa Ilyutovich DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Larisa Ilyutovich DDS PC located?
- Larisa Ilyutovich DDS PC's practice location on file with NPPES is 301 Bridge Plaza North, Fort Lee, NJ 07024.
- What is Larisa Ilyutovich DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Larisa Ilyutovich DDS PC is (201) 346-4660.
- Who is the authorized official for Larisa Ilyutovich DDS PC?
- The authorized official listed on Larisa Ilyutovich DDS PC's NPPES record is Larisa Ilyutovich, President Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Larisa Ilyutovich DDS PC's NPI active?
- Yes — Larisa Ilyutovich DDS PC's NPI (1609954064) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.