NPIMap

Organization Active NPI

Van Drew Dentistry, P.C.

  • Dentist
  • Pleasantville, NJ
National Provider Identifier
1245672211
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01223100 Issued in NJ
Legal business name
VAN DREW DENTISTRY, P.C.
Practice address
38 E Decatur Ave
Pleasantville, NJ 08232-3009
Phone
(609) 641-0016
Fax
(609) 641-3508
NPI assigned
Jul 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

Name
Dr. Jefferson Van Drew, D.M.D
Title
Owner
Phone
(609) 641-0016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22DI01223100 NJ Primary

Addresses

Primary practice location

38 E Decatur Ave
Pleasantville, NJ 08232-3009

Mailing address

38 E Decatur Ave
Pleasantville, NJ 08232-3009
Phone (609) 641-0016

National Provider Directory

National Provider Directory
Tax ID family
LJ Arch and Jefferson Van Drew2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1245672211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E DECATUR AVE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323009",
            "telephone_number": "609-641-0016",
            "fax_number": "609-641-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E DECATUR AVE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323009",
            "telephone_number": "609-641-0016",
            "fax_number": "609-641-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DREW DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "VAN DREW",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-641-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01223100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.