Active NPI
Cindy Adelstein, DMD, MAGD
- Dentist
- Succasunna, NJ
National Provider Identifier
1083630222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1857139
- Practice address
- 20 Commerce Blvd
Suite B
Succasunna, NJ 07876-1348 - Phone
- (973) 584-1066
- Fax
- (973) 584-6790
- NPI assigned
- Jul 14, 2006
- Last updated
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1857139 | MA | Primary |
| General Practice Dentistry | 1223G0001X | 17387 | NJ |
Addresses
Primary practice location
20 Commerce Blvd
Suite B
Succasunna, NJ 07876-1348
Mailing address
258 Main St Ste C1
Buzzards Bay, MA 02532-3253
Phone (508) 759-2721
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1857139 | Other | MA | STATE LICENSE |
| NJ17387 | Other | NJ | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1857139 | MA | MD | Dentist |
| 17387 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canal Side Family Dental Care, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Succasunna, NJ
- NPI 1881792620
-
- Dentist
- Succasunna, NJ
- NPI 1194168518
-
- General Practice Dentistry
- Buzzards Bay, MA
- NPI 1780775544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1083630222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 MAIN ST STE C1",
"city": "BUZZARDS BAY",
"state": "MA",
"postal_code": "025323253",
"telephone_number": "508-759-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 COMMERCE BLVD",
"address_2": "SUITE B",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761348",
"telephone_number": "973-584-1066",
"fax_number": "973-584-6790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELSTEIN",
"first_name": "CINDY",
"name_prefix": "Dr.",
"credential": "DMD, MAGD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "1857139",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "17387",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1857139",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "NJ17387",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Succasunna, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.