Organization Active NPI

Lyndhurst Family Dental Associates, PC

  • General Practice Dentistry
  • Lyndhurst, NJ
National Provider Identifier
1093620262
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LYNDHURST FAMILY DENTAL ASSOCIATES, PC
Practice address
464 Valley Brook Ave FL 2a
Lyndhurst, NJ 07071-1995
Phone
(201) 933-9092
Fax
(201) 932-0112
NPI assigned
Aug 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
John K LeeNPI 1962482380
Title
DMD Owner
Phone
(201) 933-9092

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

464 Valley Brook Ave FL 2a
Lyndhurst, NJ 07071-1995

Mailing address

464 Valley Brook Ave FL 2a
Lyndhurst, NJ 07071-1995
Phone (201) 933-9092

National Provider Directory

National Provider Directory

Locations

464 Valley Brook Ave
Fl 2A
Lyndhurst, NJ 07071
Phone (201) 933-9092

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1093620262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 VALLEY BROOK AVE FL 2A",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711995",
            "telephone_number": "201-933-9092",
            "fax_number": "201-932-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 VALLEY BROOK AVE FL 2A",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711995",
            "telephone_number": "201-933-9092",
            "fax_number": "201-932-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDHURST FAMILY DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DMD OWNER",
        "authorized_official_telephone_number": "201-933-9092"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.