Organization Active NPI

Metuchen Pediatric Dentistry LLC

  • Dental Clinic/Center
  • Metuchen, NJ
National Provider Identifier
1093441438
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
METUCHEN PEDIATRIC DENTISTRY LLC
Practice address
236 Bridge St
Metuchen, NJ 08840-2292
Phone
(908) 565-4865
NPI assigned
Jul 27, 2022
Last updated
Jul 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Harleen SodhiNPI 1568903912
Title
Pediatric Dentist
Phone
(908) 565-4865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

236 Bridge St
Metuchen, NJ 08840-2292

Mailing address

3 Woodside CT
Edison, NJ 08820-2572
Phone (908) 565-4865

National Provider Directory

National Provider Directory

Locations

236 Bridge St
Metuchen, NJ 08840
Phone (908) 565-4865

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1093441438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODSIDE CT",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202572",
            "telephone_number": "908-565-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402292",
            "telephone_number": "908-565-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METUCHEN PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "SODHI",
        "authorized_official_first_name": "HARLEEN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "908-565-4865"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.