Organization Active NPI

Secaucus Dental Group, LLC

  • General Practice Dentistry
  • Secaucus, NJ
National Provider Identifier
1174026140
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SECAUCUS DENTAL GROUP, LLC
Practice address
761 Humboldt St
Secaucus, NJ 07094-3232
Phone
(201) 865-1150
NPI assigned
Mar 15, 2018
Last updated
Jul 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Sapan Parikh, DMD
Title
Dentist/Owner
Phone
(201) 865-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

761 Humboldt St
Secaucus, NJ 07094-3232

Mailing address

761 Humboldt St
Secaucus, NJ 07094-3232
Phone (201) 865-1150

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1174026140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 HUMBOLDT ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943232",
            "telephone_number": "201-865-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 HUMBOLDT ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943232",
            "telephone_number": "201-865-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECAUCUS DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "SAPAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "201-865-1150",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.