Center for Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI020295 Issued in NJ

Legal business name

CENTER FOR FAMILY DENTISTRY

Practice address

1187 Clinton Ave
Irvington, NJ 07111

Phone

(973) 375-0400

NPI assigned

Oct 30, 2008

Organization subpart

No

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

Authorized official

Name

Fariba Sharifan

Title

DMD

Phone

(973) 375-0400

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

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

• Gurpreet Kaur

  • General Practice Dentistry
  • Irvington, NJ
  • NPI 1962616672
  NPD (past)
• Sung Min Kim

  • General Practice Dentistry
  • Pittsboro, NC
  • NPI 1497150668
  NPD (past)

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1154574465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 CLINTON AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1187 CLINTON AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "07111",
            "telephone_number": "973-375-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "SHARIFAN",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "973-375-0400"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI020295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60025186",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110221-01",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000000299601",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "011070",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany N Carpenter, MA
• Vera Carpenter, JD
• Liocely Casimir, D.C.
• Aloma Cassell, RD
• Catholic Charities of the Archdiocese of Newark
• Central Essex Medical Associates
• Central Support Services LLC
• Kristina Mackenzie Ceravolo
• Cerebral Palsy of North Jersey
• Cerebral Palsy of North Jesey

• General Practice Dentistry in Irvington, NJ
• Providers in Irvington, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.