Provider Demographics
NPI:1295872349
Name:BIKOFSKY, VERONICA MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:MARIE
Last Name:BIKOFSKY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 RICKLAND RD.
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054
Mailing Address - Country:US
Mailing Address - Phone:973-732-3208
Mailing Address - Fax:973-732-3207
Practice Address - Street 1:201 LYONS AVE.
Practice Address - Street 2:NEWARK BETH ISRAEL MEDICAL CTR.
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112
Practice Address - Country:US
Practice Address - Phone:973-732-3208
Practice Address - Fax:973-732-3207
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ 0122771223G0001X
NJ0122771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1034187OtherHORIZON NJ HEALTH
NJ0727105Medicaid
NJ9175954,162860OtherDORAL
D00000530.00OtherAMERICHOICE