Organization Active NPI

Friendly Dental of Somerset PC

  • Dentist
  • Somerset, NJ
National Provider Identifier
1205217247
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21086 Issued in NJ
Legal business name
FRIENDLY DENTAL OF SOMERSET PC
Practice address
31 Clyde Rd Ste 101
Suite 101
Somerset, NJ 08873-5047
Phone
(732) 649-3860
Fax
(848) 216-3364
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Dr. Katerina Topol, DDS
Title
Owner
Phone
(732) 649-3860

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 21086 NJ Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 18818 NJ
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20486 NJ
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 25006 NJ
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 789003 NJ

Addresses

Primary practice location

31 Clyde Rd Ste 101
Suite 101
Somerset, NJ 08873-5047

Mailing address

31 Clyde Rd Ste 101
Suite 101
Somerset, NJ 08873-5047
Phone (732) 649-3860

Other identifiers 1

IdentifierTypeStateIssuer
0175439MedicaidNJ

National Provider Directory

National Provider Directory

Locations

31 Clyde Rd
Ste 101
Somerset, NJ 08873
Phone (732) 432-7400

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": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1205217247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CLYDE RD STE 101",
            "address_2": "SUITE 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735047",
            "telephone_number": "732-649-3860",
            "fax_number": "848-216-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CLYDE RD STE 101",
            "address_2": "SUITE 101",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735047",
            "telephone_number": "732-649-3860",
            "fax_number": "848-216-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY DENTAL OF SOMERSET PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "TOPOL",
        "authorized_official_first_name": "KATERINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-649-3860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "21086",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "18818",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "20486",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "25006",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "789003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175439",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.