NPIMap

Organization Active NPI

Nova Pediatric Dentistry

  • Pediatric Dentistry
  • Dumont, NJ
National Provider Identifier
1205488780
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NOVA PEDIATRIC DENTISTRY
Practice address
316 Knickerbocker Rd
Dumont, NJ 07628-1724
Phone
(201) 384-4500
NPI assigned
Jul 15, 2019
Organization subpart
Yes
Parent organization
BNJ HOLDINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Dr. Brian No, DDS
Title
Owner
Phone
(917) 902-7407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

316 Knickerbocker Rd
Dumont, NJ 07628-1724

Mailing address

1172A 14TH St
Fort Lee, NJ 07024-1658
Phone (917) 902-7407

National Provider Directory

National Provider Directory
Part of
Nova Pediatric Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1205488780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172A 14TH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241658",
            "telephone_number": "917-902-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 KNICKERBOCKER RD",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281724",
            "telephone_number": "201-384-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PEDIATRIC DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BNJ HOLDINGS",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "NO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-902-7407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.