Old Bridge Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

OLD BRIDGE PEDIATRIC DENTISTRY LLC

Practice address

3333 US Highway 9 FL 2
Old Bridge, NJ 08857-2691

Phone

(732) 737-7336

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Luis E Martinez

Title

Director of Revenue Cycle

Phone

(732) 801-9176

Specialties & licenses 1

Addresses

Other names 1

• Nuva Smile Kids Doing business as

Practitioners 1

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

• Sathish Iyer, D.D.S

  • Pediatric Dentistry
  • Old Bridge, NJ
  • NPI 1740491471
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1003677477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 US HIGHWAY 9 FL 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572691",
            "telephone_number": "732-737-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 US HIGHWAY 9 FL 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572691",
            "telephone_number": "732-737-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BRIDGE PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "732-801-9176"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nuva Smile Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Old Bridge Drugs and Surgicals LLC
• Old Bridge Family Eyecare LLC
• Old Bridge Family Orthodontics LLC
• Old Bridge First Aid and Rescue Squad of Madison Township Inc
• Old Bridge Laboratories Inc
• Old Bridge Physical Therapy Associates PC
• Old Bridge RX, LLC
• Old Bridge RX, LLC
• Old Bridge Sleep Center
• Old Bridge Spine & Wellness Center,PA

• Pediatric Dentistry in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.