NPIMap

Organization Active NPI

Richard Tom D.M.D. LLC

  • Dentist
  • Nutley, NJ
National Provider Identifier
1285007344
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02171700 Issued in NJ
Legal business name
RICHARD TOM D.M.D. LLC
Practice address
192 Chestnut St
Nutley, NJ 07110-2329
Phone
(973) 667-2500
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Dr. Richard Tom, DMDNPI 1558588087
Title
Owner
Phone
(201) 681-0039

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22DI02171700 NJ Primary

Addresses

Primary practice location

192 Chestnut St
Nutley, NJ 07110-2329

Mailing address

4-15 26TH St
Fair Lawn, NJ 07410-3816

Other names 1

  • RT Dental Other name

National Provider Directory

National Provider Directory

Locations

192 Chestnut St
Nutley, NJ 07110
Phone (973) 667-2500

Practitioners & affiliated clinicians

Practitioners 2

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": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1285007344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-15 26TH ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 CHESTNUT ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102329",
            "telephone_number": "973-667-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD TOM D.M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-681-0039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02171700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RT Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.