Organization Active NPI

Dr. Dental of Edison, PC

  • Public Health Dentistry
  • Edison, NJ
National Provider Identifier
1013262583
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
22DI02484000 Issued in NJ
Legal business name
DR. DENTAL OF EDISON, PC
Practice address
561 US Highway 1
Edison, NJ 08817-4400
Phone
(917) 656-5661
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Dr. Julia Faigel
Title
President
Phone
(917) 656-5661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X 22DI02484000 NJ Primary

Addresses

Primary practice location

561 US Highway 1
Edison, NJ 08817-4400

Mailing address

561 US Highway 1
Edison, NJ 08817-4400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1013262583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 US HIGHWAY 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 US HIGHWAY 1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174400",
            "telephone_number": "917-656-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DENTAL OF EDISON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "FAIGEL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-656-5661",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "NJ",
            "license": "22DI02484000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.