Active NPI
Essex Endodontics PC
- Endodontics
- Montclair, NJ
National Provider Identifier
1235638347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- ESSEX ENDODONTICS PC
- Practice address
- 460 Bloomfield Ave Ste 311
Montclair, NJ 07042-3552 - Phone
- (973) 783-3535
- NPI assigned
- Feb 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sudharani Bodepudi
- Title
- President
- Phone
- (732) 762-3214
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
460 Bloomfield Ave Ste 311
Montclair, NJ 07042-3552
Mailing address
460 Bloomfield Ave Ste 311
Montclair, NJ 07042-3552
Phone (973) 783-3535
National Provider Directory
National Provider DirectoryLocations
460 Bloomfield Ave
Ste 311
Montclair, NJ 07042
Phone (973) 783-3535
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- Piscataway, NJ
- NPI 1366870198
-
- Endodontics
- Montclair, NJ
- NPI 1750645057
-
- Endodontics
- Montclair, NJ
- NPI 1740893684
-
- Endodontics
- Roslyn Heights, NY
- NPI 1598403339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517702400000",
"number": "1235638347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 BLOOMFIELD AVE STE 311",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423552",
"telephone_number": "973-783-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 BLOOMFIELD AVE STE 311",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423552",
"telephone_number": "973-783-3535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEX ENDODONTICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-04",
"last_updated": "2018-02-04",
"status": "A",
"authorized_official_last_name": "BODEPUDI",
"authorized_official_first_name": "SUDHARANI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-762-3214"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.