Organization Active NPI

Long Valley Dental Group P.C.

  • Dentist
  • Long Valley, NJ
National Provider Identifier
1093039679
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21476 Issued in NJ
Legal business name
LONG VALLEY DENTAL GROUP P.C.
Practice address
2 Mountain View Ave
Long Valley, NJ 07853-3122
Phone
(908) 876-3458
NPI assigned
Mar 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Patricia L. Newell
Title
Insurance Coordinator
Phone
(908) 876-3458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21476 NJ Primary

Addresses

Primary practice location

2 Mountain View Ave
Long Valley, NJ 07853-3122

Mailing address

2 Mountain View Ave
Long Valley, NJ 07853-3122
Phone (908) 876-3458

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1093039679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOUNTAIN VIEW AVE",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078533122",
            "telephone_number": "908-876-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MOUNTAIN VIEW AVE",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078533122",
            "telephone_number": "908-876-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG VALLEY DENTAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "908-876-3458"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "21476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Valley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.