Verona-Cedar Grove Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01698800 Issued in NJ

Legal business name

VERONA-CEDAR GROVE DENTAL ASSOCIATES

Practice address

756 Pompton Ave
Cedar Grove, NJ 07009-1229

Phone

(973) 239-6969

Fax

(973) 239-6295

NPI assigned

Jun 3, 2013

Last updated

Jun 3, 2013By 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. Wayne J Madsen, DMDNPI 1245397181

Title

Owner

Phone

(973) 239-6969

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Wayne Joseph Madsen, DMD

  • General Practice Dentistry
  • Cedar Grove, NJ
  • NPI 1245397181
  NPD (past) Authorized official
• Beth Valerie Cacossa-Madsen, DMD

  • General Practice Dentistry
  • Cedar Grove, NJ
  • NPI 1225195175
  NPD (past)

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1093152746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091229",
            "telephone_number": "973-239-6969",
            "fax_number": "973-239-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091229",
            "telephone_number": "973-239-6969",
            "fax_number": "973-239-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERONA-CEDAR GROVE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-239-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01698800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jenna Reese Vega
• Leonardo Vega
• Katherine Velardi, COTA/L
• Bernadette Veneracion
• Michelle Vieira, PTA
• Fiona Vierneza, MSN, FNP-C
• Vijay K. Gupta, M.D.
• Thomas M Villarosa, DMD
• Matthew Francis Wachtler, DPM

• General Practice Dentistry in Cedar Grove, NJ
• Providers in Cedar Grove, 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 Jun 3, 2013; 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.