OrganizationActive
Blvd Orthodontics LLC
NPI 1619855947 · Orthodontics and Dentofacial Orthopedics Dentistry · Lakewood, NJ
Provider details
- NPI number
- 1619855947
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mordechai Fried, Owner/ Dentist(516) 850-4045
Specialties & taxonomies
Dental Providers
Practice location
500 Boulevard of the Americas
Ste 105
Lakewood, NJ 08701
Phone: (848) 228-2583
Approximate (ZIP-level) locationGet directions
Mailing address
500 Boulevard of the Americas
Lakewood, NJ 08701
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.