Active NPI
Family & Cosmetic Dentistry of N. Broad, LLC
- General Practice Dentistry
- Elizabeth, NJ
National Provider Identifier
1023187697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FAMILY & COSMETIC DENTISTRY OF N. BROAD, LLC
- Practice address
- 757 N Broad St
Elizabeth, NJ 07208-2482 - Phone
- (908) 352-7730
- Fax
- (908) 353-8453
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elvira Dela Torre, DDS
- Title
- Owner and Manager
- Phone
- (908) 352-7730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NJ | Primary |
Addresses
Primary practice location
757 N Broad St
Elizabeth, NJ 07208-2482
Mailing address
757 N Broad St
Elizabeth, NJ 07208-2482
Phone (908) 352-7730
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Watchung, NJ
- NPI 1063581700
-
- Dentist
- Elizabeth, NJ
- NPI 1447391180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023187697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 N BROAD ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072082482",
"telephone_number": "908-352-7730",
"fax_number": "908-353-8453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 N BROAD ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072082482",
"telephone_number": "908-352-7730",
"fax_number": "908-353-8453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY & COSMETIC DENTISTRY OF N. BROAD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DELA TORRE",
"authorized_official_first_name": "ELVIRA",
"authorized_official_title_or_position": "OWNER AND MANAGER",
"authorized_official_telephone_number": "908-352-7730",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, 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.