First Choice Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01144100 Issued in NJ

Legal business name

FIRST CHOICE DENTAL GROUP, LLC

Practice address

2185 Lemoine Ave
Ste 1K
Fort Lee, NJ 07024-6036

Phone

(201) 592-7920

Fax

(201) 592-0971

NPI assigned

Jul 16, 2014

Last updated

Jul 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Federman, DDSNPI 1962617480

Title

Chairman

Phone

(201) 592-7920

Specialties & licenses 2

Addresses

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.

• Robert Joel Federman, DDS

  • Dentist
  • Fort Lee, NJ
  • NPI 1962617480
  NPD (past) Authorized official

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1073920666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE",
            "address_2": "STE 1K",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246036",
            "telephone_number": "201-592-7920",
            "fax_number": "201-592-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE",
            "address_2": "STE 1K",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246036",
            "telephone_number": "201-592-7920",
            "fax_number": "201-592-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "FEDERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "201-592-7920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02512900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01144100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Home Care Agency Inc.
• Lynn Lo Fan, DDS
• Robert Joel Federman, DDS
• Tasha M Ferguson, LSW
• Judith Fichtenholtz, L.C.S.W.
• Firstmed of NJ LLC
• Firstrowe Therapies LLC
• Jennifer Renee Fitzgibbons
• Gary Flink, M.S.P.T.
• Sonia Blanco Florentino

• General Practice Dentistry in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.