Organization Active NPI

Ben S Greenberg

  • General Practice Dentistry
  • Bogota, NJ
National Provider Identifier
1245886969
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEN S GREENBERG
Practice address
114 E Main St
Bogota, NJ 07603-1310
Phone
(201) 487-3361
Fax
(201) 487-6163
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Ben S GreenbergNPI 1396811592
Title
Owner
Phone
(201) 487-3361

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

114 E Main St
Bogota, NJ 07603-1310

Mailing address

114 E Main St
Bogota, NJ 07603-1310

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.internetdds.com/

National Provider Directory

National Provider Directory

Locations

114 E Main St
Bogota, NJ 07603
Phone (201) 487-3361

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1245886969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031310",
            "telephone_number": "201-487-3361",
            "fax_number": "201-487-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN S GREENBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-487-3361"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.internetdds.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "114 E Main St",
            "city": "Bogota",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076031310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bogota, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.