NPIMap

Organization Active NPI

Kennedy Dental Center PA

  • Dentist
  • Union City, NJ
National Provider Identifier
1063402683
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI020821 Issued in NJ
Legal business name
KENNEDY DENTAL CENTER PA
Practice address
3196 Kennedy Blvd
3Rd Floor
Union City, NJ 07087-2436
Phone
(201) 330-8400
Fax
(201) 330-0173
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Naynesh Savalia, DMD
Title
Owner President
Phone
(201) 330-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DI020821 NJ Primary

Addresses

Primary practice location

3196 Kennedy Blvd
3Rd Floor
Union City, NJ 07087-2436

Mailing address

3196 Kennedy Blvd
3Rd Floor
Union City, NJ 07087-2436
Phone (201) 330-8400

Other identifiers 1

IdentifierTypeStateIssuer
8800502MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1063402683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD",
            "address_2": "3RD FLOOR",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872436",
            "telephone_number": "201-330-8400",
            "fax_number": "201-330-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD",
            "address_2": "3RD FLOOR",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872436",
            "telephone_number": "201-330-8400",
            "fax_number": "201-330-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "SAVALIA",
        "authorized_official_first_name": "NAYNESH",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "201-330-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI020821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8800502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.