Pompton Lakes Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

POMPTON LAKES FAMILY DENTAL LLC

Practice address

518 Hamburg Tpke
Pompton Lakes, NJ 07442-1430

Phone

(845) 220-6815

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Raquel Rodriguez, DMDNPI 1518321207

Title

Owner

Phone

(845) 220-6815

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raquel Rodriguez, DMD

  • Dentist
  • Hoboken, NJ
  • NPI 1518321207
  NPD (past) Authorized official

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1003463308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PARK AVE APT 2",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304204",
            "telephone_number": "845-220-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 HAMBURG TPKE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421430",
            "telephone_number": "845-220-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPTON LAKES FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-220-6815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice M. Peters, PH.D.
• Planned Parenthood of Metropolitan New Jersey
• Pompton Anesthesia Associates
• Pompton Lake Pharmacy LLC
• Pompton Lakes Board of Education
• Pompton Pharmacy Corporation
• Lauren Porro, RD
• Brian Paul Propfe, M.ED., NCC
• Carly Racanelli, OT
• Patricia Rango, MS, CCC-SLP

• Dental Clinic/Center in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.