Sicklerville Smiles

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SICKLERVILLE SMILES

Practice address

423 Sicklerville Rd
Sicklerville, NJ 08081-2555

Phone

(856) 728-9200

Fax

(856) 728-4550

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Aryam Modesto, DMDNPI 1891066486

Title

Owner/Dentist

Phone

(201) 709-2802

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.

• Aryam Modesto, D.M.D.

  • Dentist
  • Glen Rock, NJ
  • NPI 1891066486
  NPD Authorized official

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1265110969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 SICKLERVILLE RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812555",
            "telephone_number": "856-728-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 SICKLERVILLE RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812555",
            "telephone_number": "856-728-9200",
            "fax_number": "856-728-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICKLERVILLE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "MODESTO",
        "authorized_official_first_name": "ARYAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "201-709-2802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainab Shuja
• Sicklerville Chiropractic
• Sicklerville Internal Medicine
• Sicklerville Internal Medicine Associates Inc
• Sicklerville Shoprite, Inc
• Cheryl Silvano
• Derek Xavier Simmons
• Shari K. Simon, D.O.
• Sabine Simplice
• Eric David Simpson

• Dental Clinic/Center in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.