Organization Active NPI

Bergen Dental and Specialties LLC

  • General Practice Dentistry
  • Rochelle Park, NJ
National Provider Identifier
1003180142
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DIO2319300 Issued in NJ
Legal business name
BERGEN DENTAL AND SPECIALTIES LLC
Practice address
50 Essex St
Rochelle Park, NJ 07662-4341
Phone
(201) 343-8888
Fax
(201) 845-4341
NPI assigned
Mar 7, 2012
Last updated
Mar 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jason F Schepis, D.M.DNPI 1730304734
Title
President
Phone
(201) 343-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DIO2319300 NJ Primary
General Practice Dentistry 1223G0001X 22DIO2318500 NJ

Addresses

Primary practice location

50 Essex St
Rochelle Park, NJ 07662-4341

Mailing address

50 Essex St
Rochelle Park, NJ 07662-4341
Phone (201) 343-8888

National Provider Directory

National Provider Directory

Locations

50 Essex St
Rochelle Park, NJ 07662
Phone (201) 303-8179

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1003180142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ESSEX ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624341",
            "telephone_number": "201-343-8888",
            "fax_number": "201-845-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ESSEX ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624341",
            "telephone_number": "201-343-8888",
            "fax_number": "201-845-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN DENTAL AND SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHEPIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-343-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO2319300",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO2318500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.