NPIMap

Organization Active NPI

River Road Dental PC

  • Dentist
  • Edgewater, NJ
National Provider Identifier
1215147897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02193600 Issued in NJ
Legal business name
RIVER ROAD DENTAL PC
Practice address
103 River Rd
Suite 105
Edgewater, NJ 07020-1016
Phone
(201) 840-0045
Fax
(201) 840-1095
NPI assigned
May 23, 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
Valerie DounskiNPI 1518057967
Title
Dentist
Phone
(201) 840-0045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22DI02193600 NJ Primary

Addresses

Primary practice location

103 River Rd
Suite 105
Edgewater, NJ 07020-1016

Mailing address

103 River Rd
Suite 105
Edgewater, NJ 07020-1016
Phone (201) 840-0045

National Provider Directory

National Provider Directory

Locations

103 River Rd
Ste 105
Edgewater, NJ 07020
Phone (201) 840-0045

Practitioners & affiliated clinicians

Practitioners 2

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215147897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "address_2": "SUITE 105",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-840-0045",
            "fax_number": "201-840-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "address_2": "SUITE 105",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-840-0045",
            "fax_number": "201-840-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER ROAD DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUNSKI",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-840-0045"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02193600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, 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.