Center for Dentistry at Humc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CENTER FOR DENTISTRY AT HUMC

Practice address

30 Prospect Ave
Hackensack, NJ 07601-1914

Phone

(201) 996-2111

Fax

(201) 996-2334

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Beals, DDS

Title

MNG. Director, Center for Dentistry

Phone

(201) 996-5674

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1104091644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-2111",
            "fax_number": "201-996-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-996-2111",
            "fax_number": "201-996-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DENTISTRY AT HUMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "BEALS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MNG. DIRECTOR, CENTER FOR DENTISTRY",
        "authorized_official_telephone_number": "201-996-5674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0137456",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marta Cedrowski, RD, PA-C
• Binta Ceesay
• Kitabu Ceesay, PA
• Center for Allergy, Asthma & Immune Disorders, P.a.
• Center for Cognitive and Emotional Well-Being
• Center for Dentistry at Humc, Faculty Practice LLC
• Center for Family Support, New Jersey, Inc
• Center for Family Support, New Jersey, Inc
• Center for Family Support, New Jersey, Inc
• Center for Family Support, New Jersey, Inc

• General Practice Dentistry in Hackensack, NJ
• Providers in Hackensack, 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 Apr 25, 2008; 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.