Dental Sleep Medicine Associates of Clark PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DENTAL SLEEP MEDICINE ASSOCIATES OF CLARK PC

Practice address

625 Raritan Rd
Clark, NJ 07066-2245

Phone

(732) 574-2978

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Lee Maisel, DMDNPI 1184831760

Title

Owner/President

Phone

(732) 382-0500

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Lee Michael Maisel, DMD

  • General Practice Dentistry
  • Clark, NJ
  • NPI 1184831760
  NPD (past) Authorized official
• Jeffrey Allen Everitt, D.M.D.

  • General Practice Dentistry
  • Clark, NJ
  • NPI 1427264852
  NPD (past)
• Maria A. Katalan, D.D.S.

  • Dentist
  • Clark, NJ
  • NPI 1851772198
  NPD (past)
• Tiffany Gu, DDS

  • General Practice Dentistry
  • Cicero, NY
  • NPI 1235748328
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1114405123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662245",
            "telephone_number": "732-574-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662245",
            "telephone_number": "732-574-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP MEDICINE ASSOCIATES OF CLARK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "MAISEL",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "732-382-0500",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace De la Cruz, PA-C
• David De la Fuente, PT, DPT, CSCS
• Michele De Lorenzo, APN
• Marc David Delellis, DPT
• Tahlia Delorenzo, LPC, NCC
• Michelle Destouche, APN
• Amy Michele Dietz, PA-C
• Brittany Dillard, LPC
• Ding Acupuncture and Herb Center P.C.
• Jihong Ding, C.A.

• Customized Equipment (DME) in Clark, NJ
• Providers in Clark, NJ by specialty
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.