Organization Active NPI

John J. Mady DDS LLC

  • General Practice Dentistry
  • Maywood, NJ
National Provider Identifier
1114488491
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN J. MADY DDS LLC
Practice address
930 Spring Valley Rd
Maywood, NJ 07607-1436
Phone
(201) 819-7598
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Dr. John Jay Mady, DDSNPI 1598107351
Title
Owner
Phone
(201) 819-7598

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

930 Spring Valley Rd
Maywood, NJ 07607-1436

Mailing address

930 Spring Valley Rd
Maywood, NJ 07607-1436
Phone (201) 819-7598

Other identifiers 1

IdentifierTypeStateIssuer
22DI02543700OtherNJDDS STATE LICENSE

Other names 1

  • Spring Valley Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

930 Spring Valley Rd
Maywood, NJ 07607
Phone (201) 819-7598

Practitioners & affiliated clinicians

Practitioners 1

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1114488491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SPRING VALLEY RD",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071436",
            "telephone_number": "201-819-7598",
            "fax_number": "201-843-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SPRING VALLEY RD",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071436",
            "telephone_number": "201-819-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. MADY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "MADY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-819-7598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS STATE LICENSE",
            "identifier": "22DI02543700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maywood, NJ

Sources for this page

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