NPIMap

Organization Active NPI

Somerset Pediatric Dental Associates LLC

  • Pediatric Dentistry
  • Somerset, NJ
National Provider Identifier
1275554123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DI020551 Issued in NJ
Legal business name
SOMERSET PEDIATRIC DENTAL ASSOCIATES LLC
Practice address
33 Clyde Rd Ste 104
Somerset, NJ 08873-5032
Phone
(732) 568-0233
Fax
(732) 568-0213
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Suni Bolar, DDSNPI 1215157979
Title
Owner
Phone
(732) 568-0233

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DI020551 NJ Primary

Addresses

Primary practice location

33 Clyde Rd Ste 104
Somerset, NJ 08873-5032

Mailing address

33 Clyde Rd Ste 104
Somerset, NJ 08873-5032
Phone (732) 568-0233

National Provider Directory

National Provider Directory

Locations

33 Clyde Rd
Ste 104
Somerset, NJ 08873
Phone (732) 568-0233

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275554123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CLYDE RD STE 104",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735032",
            "telephone_number": "732-568-0233",
            "fax_number": "732-568-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CLYDE RD STE 104",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735032",
            "telephone_number": "732-568-0233",
            "fax_number": "732-568-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET PEDIATRIC DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLAR",
        "authorized_official_first_name": "SUNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-568-0233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "DI020551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • 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.