Organization Active NPI

Shore Dental Arts, Professional Association

  • Dentist
  • Belmar, NJ
National Provider Identifier
1003358342
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHORE DENTAL ARTS, PROFESSIONAL ASSOCIATION
Practice address
616 5TH Ave
Ste 102
Belmar, NJ 07719-2162
Phone
(732) 681-2393
Fax
(732) 280-8486
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Hasan Zaidi
Title
Owner
Phone
(732) 681-2393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

616 5TH Ave
Ste 102
Belmar, NJ 07719-2162

Mailing address

616 5TH Ave
Ste 102
Belmar, NJ 07719-2162
Phone (732) 681-2393

National Provider Directory

National Provider Directory

Locations

616 5th Ave
Unit 102
Belmar, NJ 07719
Phone (732) 681-2393

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1003358342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 5TH AVE",
            "address_2": "STE 102",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192162",
            "telephone_number": "732-681-2393",
            "fax_number": "732-280-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 5TH AVE",
            "address_2": "STE 102",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192162",
            "telephone_number": "732-681-2393",
            "fax_number": "732-280-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE DENTAL ARTS, PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "ZAIDI",
        "authorized_official_first_name": "HASAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-681-2393"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmar, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.