Hudson Dental Esthetics PC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01924600 Issued in NJ

Legal business name

HUDSON DENTAL ESTHETICS PC

Practice address

5300 Bergenline Ave
Suite 8
West New York, NJ 07093-5616

Phone

(201) 865-7750

Fax

(201) 865-3299

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Nourbakhsh, D,D,SNPI 1457374746

Title

Owner

Phone

(201) 865-7750

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Nourbakhsh, D.D.S

  • Dentist
  • Clark, NJ
  • NPI 1457374746
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255413506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935616",
            "telephone_number": "201-865-7750",
            "fax_number": "201-865-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BERGENLINE AVE",
            "address_2": "SUITE 8",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935616",
            "telephone_number": "201-865-7750",
            "fax_number": "201-865-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON DENTAL ESTHETICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOURBAKHSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-865-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,D,S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01924600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Houston Medical Consulting PC
• Inverness Marie Howard, RN
• Yingjia Huang, LCSW
• Hudson Dental Center
• Hudson Dental Center PA
• Hudson Eyecare Associates PA
• Hudson Medical and Mental Health Integrated Services, LLC
• Hudson Pain and Orthopedic Associates, LLC
• Hudson Pharmacy
• Daphne Joyce Humphries, MD

• Dentist in West New York, NJ
• Providers in West New York, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.