Organization Active NPI

Dental Health Providers of New Jersey PC

  • General Practice Dentistry
  • Springfield, NJ
National Provider Identifier
1114946894
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D102249400 Issued in NJ
Legal business name
DENTAL HEALTH PROVIDERS OF NEW JERSEY PC
Practice address
28 Millburn Ave
Ste #2
Springfield, NJ 07081-1023
Phone
(973) 218-9190
Fax
(973) 218-9192
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maria Milagros Yambao, DDS
Title
President
Phone
(973) 218-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22D102249400 NJ Primary

Addresses

Primary practice location

28 Millburn Ave
Ste #2
Springfield, NJ 07081-1023

Mailing address

28 Millburn Ave
Ste #2
Springfield, NJ 07081-1023
Phone (973) 218-9190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114946894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MILLBURN AVE",
            "address_2": "STE #2",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811023",
            "telephone_number": "973-218-9190",
            "fax_number": "973-218-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MILLBURN AVE",
            "address_2": "STE #2",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811023",
            "telephone_number": "973-218-9190",
            "fax_number": "973-218-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH PROVIDERS OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMBAO",
        "authorized_official_first_name": "MARIA MILAGROS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-218-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102249400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.