NPIMap

Organization Active NPI

Edison Family Dental Care L.L.C

  • General Practice Dentistry
  • Edison, NJ
National Provider Identifier
1144633371
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02559800 Issued in NJ
Legal business name
EDISON FAMILY DENTAL CARE L.L.C
Practice address
34-36 Progress St
Suite B-6
Edison, NJ 08820-1197
Phone
(908) 757-5559
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Suraiya M Shaikh, DMD
Title
Owner
Phone
(908) 757-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI02559800 NJ Primary

Addresses

Primary practice location

34-36 Progress St
Suite B-6
Edison, NJ 08820-1197

Mailing address

34-36 Progress St
Suite B-6
Edison, NJ 08820-1197
Phone (908) 757-5559

National Provider Directory

National Provider Directory

Locations

34-36 Progress St
Ste B6
Edison, NJ 08820
Phone (908) 757-5559

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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1144633371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST",
            "address_2": "SUITE B-6",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "908-757-5559",
            "fax_number": "908-757-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST",
            "address_2": "SUITE B-6",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "908-757-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON FAMILY DENTAL CARE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "SURAIYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-757-5559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02559800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.