Organization Active NPI

Quality Dental Associates, PA

  • General Practice Dentistry
  • Nutley, NJ
National Provider Identifier
1174732754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01885300 Issued in NJ
Legal business name
QUALITY DENTAL ASSOCIATES, PA
Practice address
175 Franklin Ave
Suite 101
Nutley, NJ 07110-3819
Phone
(973) 284-1011
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amer Azizogli, D.D.S.
Title
President
Phone
(973) 284-1011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22DI01885300 NJ Primary

Addresses

Primary practice location

175 Franklin Ave
Suite 101
Nutley, NJ 07110-3819

Mailing address

175 Franklin Ave
Suite 101
Nutley, NJ 07110-3819
Phone (973) 284-1011

National Provider Directory

National Provider Directory

Locations

175 Franklin Ave
Ste 101
Nutley, NJ 07110
Phone (973) 284-1011

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174732754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FRANKLIN AVE",
            "address_2": "SUITE 101",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103819",
            "telephone_number": "973-284-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FRANKLIN AVE",
            "address_2": "SUITE 101",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103819",
            "telephone_number": "973-284-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZIZOGLI",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-284-1011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01885300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • 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.