Organization Active NPI

Essex Endodontics PC

  • Endodontics
  • Montclair, NJ
National Provider Identifier
1235638347
Registry record updated Feb 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
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

Updated by the provider on Feb 4, 2018

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

Authorized official

Name
Sudharani BodepudiNPI 1366870198
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)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.