Organization Active NPI

West Essex Dental Group, PA

  • General Practice Dentistry
  • West Caldwell, NJ
National Provider Identifier
1255401980
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WEST ESSEX DENTAL GROUP, PA
Practice address
1140 Bloomfield Ave
Suite 209
West Caldwell, NJ 07006-7126
Phone
(973) 575-6570
Fax
(973) 575-6572
NPI assigned
Nov 9, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Seymour William Silberberg, D.D.S.
Title
Director
Phone
(973) 575-6570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1140 Bloomfield Ave
Suite 209
West Caldwell, NJ 07006-7126

Mailing address

1140 Bloomfield Ave
Suite 209
West Caldwell, NJ 07006-7126
Phone (973) 575-6570

Other identifiers 1

IdentifierTypeStateIssuer
3150909MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1140 Bloomfield Ave
Ste 209
West Caldwell, NJ 07006
Phone (973) 575-6570

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1255401980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 209",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067126",
            "telephone_number": "973-575-6570",
            "fax_number": "973-575-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 209",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067126",
            "telephone_number": "973-575-6570",
            "fax_number": "973-575-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ESSEX DENTAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SILBERBERG",
        "authorized_official_first_name": "SEYMOUR",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-575-6570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.