Active NPI
Jon E. Sadof, D.D.S.
- General Practice Dentistry
- North Bergen, NJ
National Provider Identifier
1114051992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 035618-1
- Practice address
- 7601 Broadway
North Bergen, NJ 07047-5723 - Phone
- (201) 869-3107
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 035618-1 | NY | Primary |
Addresses
Primary practice location
7601 Broadway
North Bergen, NJ 07047-5723
Mailing address
6 Center Rd
Old Greenwich, CT 06870-1806
Phone (203) 698-2771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035618-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1114051992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CENTER RD",
"city": "OLD GREENWICH",
"state": "CT",
"postal_code": "068701806",
"telephone_number": "203-698-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 BROADWAY",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070475723",
"telephone_number": "201-869-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADOF",
"first_name": "JON",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "035618-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.