NPIMap

Organization Active NPI

Infinite Endodontics North Jersey

  • Endodontics
  • Clifton, NJ
National Provider Identifier
1215181755
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22DI02071600 Issued in NJ
Legal business name
INFINITE ENDODONTICS NORTH JERSEY
Practice address
1219 Main Avenue
Clifton, NJ 07011
Phone
(973) 473-0900
Fax
(973) 772-3989
NPI assigned
Nov 11, 2008
Organization subpart
Yes
Parent organization
INFINITE ENDODONTICS NORTH JERSEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Spencer Carl Saint Cyr, DMD
Title
Owner
Phone
(973) 772-3989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 22DI02071600 NJ Primary

Addresses

Primary practice location

1219 Main Avenue
Clifton, NJ 07011

Mailing address

401 Commerce Drive
Fort Washington, PA 19034
Phone (215) 646-6188

Other names 1

  • INFINITE ENDODONTICS NORTH JERSEY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Infinite Endodontics North Jersey2 organizations share this tax ID, including this one
Part of
Infinite Endodontics North Jersey

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1219 Main Ave
Clifton, NJ 07011
Phone (973) 473-0090

401 Commerce Dr
Ft Washington, PA 19034
Phone (215) 550-7186

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1215181755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DRIVE",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "19034",
            "telephone_number": "215-646-6188",
            "fax_number": "215-646-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MAIN AVENUE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-473-0900",
            "fax_number": "973-772-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE ENDODONTICS NORTH JERSEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INFINITE ENDODONTICS NORTH JERSEY",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "SAINT CYR",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-772-3989",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02071600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INFINITE ENDODONTICS NORTH JERSEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.