Active NPI
Mrunal H Parmar, DDS
- Pediatric Dentistry
- Park Ridge, NJ
National Provider Identifier
1174960942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI02591600
- Practice address
- 139A Kinderkamack Rd
Park Ridge, NJ 07656-1334 - Phone
- (201) 391-8516
- NPI assigned
- Jun 3, 2013
- Last updated
- Nov 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI02591600 | NJ | Primary |
Addresses
Primary practice location
139A Kinderkamack Rd
Park Ridge, NJ 07656-1334
Mailing address
111 E 210TH St
Bronx, NY 10467-2401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02591600 | NJ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Smile Stop LLC | Pediatric Dentistry | Current | Accepting new patients |
| The Smile Stop Franklin Lakes | Pediatric Dentistry | Current | Accepting new patients |
Locations
139 Kinderkamack Rd
#A
Park Ridge, NJ 07656
Phone (201) 391-8516
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Franklin Lakes, NJ
- NPI 1912765009
-
- Pediatric Dentistry
- Park Ridge, NJ
- NPI 1851815021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1174960942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139A KINDERKAMACK RD",
"city": "PARK RIDGE",
"state": "NJ",
"postal_code": "076561334",
"telephone_number": "201-391-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARMAR",
"first_name": "MRUNAL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-03",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02591600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, NJ
- Park Ridge Board of Education
- Park Ridge Chiropractic (Park Ridge Chiropractic LLC)
- Park Ridge Geriatrics PC
- Park Ridge Healthcare SNF, LLC (The Plaza Regency at Park Ridge)
- Park Ridge SNF Amop, LLC (Spring Hills Post Acute Park Ridge)
- Pascack Mental Health Center
- Kim Marie Pauline, MS
- Kristen Lynn Permenter, OTR/L
- Laurie Sue Pileggi, RPH
- Diana Amelia Pree, RN, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.