Nihon Shika Group Mitsuwa

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10635 Issued in NJ

Legal business name

NIHON SHIKA GROUP MITSUWA

Practice address

595 River Rd
Mitsuwa Marketplace
Edgewater, NJ 07020-1104

Phone

(201) 945-3202

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Belok, D.D.S.,M.P.H.NPI 1962492157

Title

Owner

Phone

(201) 945-3202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gregory Belok, DDS,MPH

  • General Practice Dentistry
  • Edgewater, NJ
  • NPI 1962492157
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154442085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 RIVER RD",
            "address_2": "MITSUWA MARKETPLACE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201104",
            "telephone_number": "201-945-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 RIVER RD",
            "address_2": "MITSUWA MARKETPLACE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201104",
            "telephone_number": "201-945-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIHON SHIKA GROUP MITSUWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-945-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.P.H."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "10635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Dental Clinic/Center in New Jersey

• 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.