Organization Active NPI

Fanwood Family and Cosmetic Dentistry

  • Dental Clinic/Center
  • Fanwood, NJ
National Provider Identifier
1023673753
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FANWOOD FAMILY AND COSMETIC DENTISTRY
Practice address
225 N Martine Ave
Fanwood, NJ 07023-1336
Phone
(908) 322-7111
NPI assigned
May 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Ankit V Parikh
Title
Owner
Phone
(908) 322-7111

Specialties & licenses 1

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

Addresses

Primary practice location

225 N Martine Ave
Fanwood, NJ 07023-1336

Mailing address

225 N Martine Ave
Fanwood, NJ 07023-1336
Phone (908) 322-7111

National Provider Directory

National Provider Directory

Locations

225 N Martine Ave
Fanwood, NJ 07023
Phone (732) 266-2911

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1023673753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MARTINE AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231336",
            "telephone_number": "908-322-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MARTINE AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231336",
            "telephone_number": "908-322-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANWOOD FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "ANKIT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-322-7111"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.