Northfield Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHFIELD DENTAL GROUP

Practice address

769 Northfield Ave
Suite 154
West Orange, NJ 07052-1198

Phone

(973) 736-0111

Fax

(973) 325-6442

NPI assigned

Sep 15, 2006

Last updated

Mar 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Pisauro

Title

Benefits

Phone

(973) 736-0111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allan Jeremy Stein, DMD

  • General Practice Dentistry
  • West Orange, NJ
  • NPI 1023685591
  Medicare reassignment Care Compare group NPD
• Ivan Fredric Stein, DDS

  • General Practice Dentistry
  • West Orange, NJ
  • NPI 1083711469
  Medicare reassignment Care Compare group NPD
• Jeffrey David Shapiro, D.D.S.

  • Dentist
  • Jamesburg, NJ
  • NPI 1992065288
  NPD (past)
• Derek Widmayer, DMD

  • General Practice Dentistry
  • West Orange, NJ
  • NPI 1992803324
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1225134455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 NORTHFIELD AVE",
            "address_2": "SUITE 154",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521198",
            "telephone_number": "973-736-0111",
            "fax_number": "973-325-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 NORTHFIELD AVE",
            "address_2": "SUITE 154",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521198",
            "telephone_number": "973-736-0111",
            "fax_number": "973-325-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHFIELD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "PISAURO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BENEFITS",
        "authorized_official_telephone_number": "973-736-0111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Njmedix Ambulatory Transportation Corporation
• Nadine P Noel, APN-FNP-BC
• North Jersey Gastroenterology Associates, P.a.
• Northern New Jersey Anesthesiology
• Northfield Anesthesia Associates
• Northfield Health and Wellness, PC
• Northfield Imaging Center PA (Northfield Imaging Center)
• Northfield Podiatry PC
• Northfield Podiatry PC
• Northfield Surgical Center LLC (Northfield Surgical Center)

• General Practice Dentistry in West Orange, NJ
• Providers in West Orange, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.