Exceptional Dentistry of Bergen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D102696600 Issued in NJ

Legal business name

EXCEPTIONAL DENTISTRY OF BERGEN

Practice address

725 River Rd Ste 104
Edgewater, NJ 07020-1170

Phone

(201) 943-6644

NPI assigned

Feb 13, 2018

Last updated

Feb 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wanda E Mejia, DDS

Title

Dr

Phone

(201) 943-6644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1003316324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 104",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 104",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201170",
            "telephone_number": "201-943-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL DENTISTRY OF BERGEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "201-943-6644",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102696600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Eichman, FNP-C
• Samar El Saleh
• Tony Emadzadeh
• Embrace Developmental Care
• Eugene S. Lee DC, LLC (Edgewater Chiropractic & Acupuncture)
• Eyemedics PC
• Rosemary Farrell
• Febus NP Consultants LLC (Curamind Wellness)
• Luis A. Febus, NP
• Suzanne Feldman, LSW

• General Practice Dentistry in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.