NPIMap

Organization Active NPI

Premier Care Dentistry LLC

  • Dentist
  • Englewood Cliffs, NJ
National Provider Identifier
1003488024
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PREMIER CARE DENTISTRY LLC
Practice address
700 E Palisade Ave
Englewood Cliffs, NJ 07632-3058
Phone
(201) 568-0606
Fax
(631) 396-0452
NPI assigned
Jul 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Authorized official

Name
Hiro Soriano
Title
Cio
Phone
(631) 414-7927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

700 E Palisade Ave
Englewood Cliffs, NJ 07632-3058

Mailing address

135 Pinelawn Rd Ste 150S
Melville, NY 11747-3187
Phone (631) 414-7927

Other practice location 1

69 Route 27
Edison, NJ 08820-3983
Phone (732) 494-7575

National Provider Directory

National Provider Directory
Tax ID family
Premier Care Dentistry LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1003488024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PINELAWN RD STE 150S",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473187",
            "telephone_number": "631-414-7927",
            "fax_number": "631-396-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323058",
            "telephone_number": "201-568-0606",
            "fax_number": "631-396-0452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Route 27",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088203983",
            "country_code": "US",
            "telephone_number": "732-494-7575",
            "fax_number": "631-396-0452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER CARE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "HIRO",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "631-414-7927"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.