Nerissa D. Pascual, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI01867200 Issued in NJ

Legal business name

NERISSA D. PASCUAL, DDS PA

Doing business as

Hackensack Family Dentistry

Practice address

360 Golf PL
Hackensack, NJ 07601-2502

Phone

(201) 488-8456

Fax

(201) 488-4134

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nerissa Domingo Pascual, DDSNPI 1437517638

Title

Owner

Phone

(201) 488-8456

Specialties & licenses 1

Addresses

Other names 1

• Hackensack Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nerissa Domingo Pascual

  • Dentist
  • Hackensack, NJ
  • NPI 1437517638
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1053520957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 GOLF PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012502",
            "telephone_number": "201-488-8456",
            "fax_number": "201-488-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 GOLF PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012502",
            "telephone_number": "201-488-8456",
            "fax_number": "201-488-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERISSA D. PASCUAL, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "NERISSA",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-488-8456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI01867200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hackensack Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.