Virtuoso Dental Care LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DI1995600 Issued in NJ

Legal business name

VIRTUOSO DENTAL CARE LLC

Practice address

183 Jefferson St
Passaic, NJ 07055-5106

Phone

(973) 472-1010

Fax

(973) 473-6232

NPI assigned

Sep 4, 2014

Organization subpart

No

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

Authorized official

Name

Neetha Ravindra, DDS

Title

General Dentist

Phone

(973) 472-1010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1285035618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 JEFFERSON ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555106",
            "telephone_number": "973-472-1010",
            "fax_number": "973-473-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 JEFFERSON ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555106",
            "telephone_number": "973-472-1010",
            "fax_number": "973-473-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUOSO DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "RAVINDRA",
        "authorized_official_first_name": "NEETHA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "973-472-1010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI1995600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yael Walfish, MSW

• Dentist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.