Cranio Associates PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CRANIO ASSOCIATES PA

Practice address

2185 Le Moine Avenue
Fort Lee, NJ 07024-6319

Phone

(201) 592-7727

Fax

(201) 592-0971

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Robert Joel Federman, DDS

Title

President/Dentist

Phone

(201) 592-7727

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1144865221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070150825",
            "telephone_number": "973-772-2200",
            "fax_number": "973-772-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 LE MOINE AVENUE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246319",
            "telephone_number": "201-592-7727",
            "fax_number": "201-592-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIO ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "FEDERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "201-592-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.