Active NPI
Denta PC
- General Practice Dentistry
- Cliffside Park, NJ
National Provider Identifier
1043327257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTA PC
- Practice address
- 546 Anderson Ave
Cliffside Park, NJ 07010 - Phone
- (201) 943-5544
- Fax
- (201) 943-5544
- NPI assigned
- Aug 24, 2006
- Last updated
- Aug 22, 2020
- 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
- Shmuil Aronovich, DDS
- Title
- VP Dentist
- Phone
- (201) 943-5544
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
546 Anderson Ave
Cliffside Park, NJ 07010
Mailing address
546 Anderson Ave
Cliffside Park, NJ 07010
Phone (201) 943-5544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 719106 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Cliffside Park, NJ
- NPI 1851408066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043327257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 ANDERSON AVE",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "07010",
"telephone_number": "201-943-5544",
"fax_number": "201-943-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 ANDERSON AVE",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "07010",
"telephone_number": "201-943-5544",
"fax_number": "201-943-5544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTA PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ARONOVICH",
"authorized_official_first_name": "SHMUIL",
"authorized_official_title_or_position": "VP DENTIST",
"authorized_official_telephone_number": "201-943-5544",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "719106",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cliffside Park, 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.