North Bergen Family Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI20520 Issued in NJ

Legal business name

NORTH BERGEN FAMILY DENTAL CARE LLC

Practice address

7821 Bergenline Ave
North Bergen, NJ 07047-4942

Phone

(201) 869-0030

Fax

(201) 869-0020

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By 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

Dr. Manorama Guntunur, DDSNPI 1124017843

Title

General Dentist

Phone

(201) 869-0030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Manorama Guntunur, D.D.S

  • General Practice Dentistry
  • North Bergen, NJ
  • NPI 1124017843
  NPD (past) Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225197361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7821 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474942",
            "telephone_number": "201-869-0030",
            "fax_number": "201-869-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7821 BERGENLINE AVE",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474942",
            "telephone_number": "201-869-0030",
            "fax_number": "201-869-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BERGEN FAMILY DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUNTUNUR",
        "authorized_official_first_name": "MANORAMA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "201-869-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Namrata Narendrakumar Nikum, MD
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• Norte Dialysis LLC (Dialysis at Palisades Medical Center)
• North Bergen Board of Education
• North Bergen Dental Group
• North Bergen Health Care, Inc. (Hudsonview Care & Rehabilitation Center)
• North Bergen Health Care, LLC (Hudson View Adult Medical Day Care Center)
• North Bergen Healthcare, LLC (Hudsonview Care & Rehabilitation Center)
• North Bergen Hospitalists
• North Bergen Medical Services LLC

• General Practice Dentistry in North Bergen, NJ
• Providers in North Bergen, 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 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.