Advanced Dentistry of Summit, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

22DI02372900 Issued in NJ

Legal business name

ADVANCED DENTISTRY OF SUMMIT, LLC

Practice address

33 Main St
Ste. 101
Chatham, NJ 07928-2433

Phone

(973) 635-0626

NPI assigned

Feb 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Corina Atanase, DMDNPI 1346393717

Title

Dentist/Owner

Phone

(973) 635-0626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Dentistry, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Corina Atanase, DMD

  • Dentist
  • Chatham, NJ
  • NPI 1346393717
  NPD Authorized official

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1083910285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAIN ST",
            "address_2": "STE. 101",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282433",
            "telephone_number": "973-635-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAIN ST",
            "address_2": "STE. 101",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282433",
            "telephone_number": "973-635-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTISTRY OF SUMMIT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "ATANASE",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "973-635-0626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "22DI02372900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ATANASE NPI",
            "identifier": "1346393717",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Active Care Chatham LLC
• Active Care Wellness Center
• Deborah Adler
• Melissa Agostinho, MS, OTR/L
• Aip Mobility Plus
• Michael F Alapatt, M.D.
• Albro Drug Company Inc
• Caitlin E. Alleman, LCSW

• Customized Equipment (DME) in Chatham, NJ
• Providers in Chatham, NJ by specialty
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.