Organization Active NPI

Summit Periodontics and Dental Implants

  • Periodontics
  • Summit, NJ
National Provider Identifier
1285013128
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SUMMIT PERIODONTICS AND DENTAL IMPLANTS
Practice address
137 Summit Ave
Summit, NJ 07901-2800
Phone
(908) 277-2224
Fax
(908) 277-1272
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Sheeren Sharon Maloney, DDS, MS
Title
Member
Phone
(908) 277-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X NJ Primary

Addresses

Primary practice location

137 Summit Ave
Summit, NJ 07901-2800

Mailing address

137 Summit Ave
Summit, NJ 07901-2800
Phone (908) 277-2224

National Provider Directory

National Provider Directory

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": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1285013128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012800",
            "telephone_number": "908-277-2224",
            "fax_number": "908-277-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012800",
            "telephone_number": "908-277-2224",
            "fax_number": "908-277-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PERIODONTICS AND DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "SHEEREN",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-277-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.