Organization Active NPI

Township of West Orange Dental Clinic

  • Dental Clinic/Center
  • West Orange, NJ
National Provider Identifier
1013130574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TOWNSHIP OF WEST ORANGE DENTAL CLINIC
Practice address
66 Main St
West Orange, NJ 07052-5404
Phone
(973) 325-4135
Fax
(973) 325-4005
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph A. Fonzino
Title
Director of Health & Welfare
Phone
(973) 325-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

66 Main St
West Orange, NJ 07052-5404

Mailing address

66 Main St
West Orange, NJ 07052-5404
Phone (973) 325-4135

Other identifiers 1

IdentifierTypeStateIssuer
0021008MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Town of West Orange2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

66 Main St
West Orange, NJ 07052
Phone (973) 325-4131

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013130574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525404",
            "telephone_number": "973-325-4135",
            "fax_number": "973-325-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525404",
            "telephone_number": "973-325-4135",
            "fax_number": "973-325-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF WEST ORANGE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONZINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH & WELFARE",
        "authorized_official_telephone_number": "973-325-4124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021008",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.