Ridgefield Park Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RIDGEFIELD PARK FAMILY DENTAL LLC

Practice address

174 Main St
Ridgefield Park, NJ 07660-1648

Phone

(201) 267-6700

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Khaled Eldin, DDSNPI 1720143415

Title

Associate

Phone

(201) 736-6656

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khaled Eldin, DDS

  • Dentist
  • Old Bridge, NJ
  • NPI 1720143415
  Authorized official Same address or phone
• Elle Belfer, DMD

  • General Practice Dentistry
  • New York, NY
  • NPI 1437726387
  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1285259879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 US HIGHWAY 9",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572691",
            "telephone_number": "732-679-6666",
            "fax_number": "732-679-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MAIN ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601648",
            "telephone_number": "201-267-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEFIELD PARK FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "ELDIN",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "201-736-6656",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Pasternak
• Sadia-Adu Phillips, LCSW
• Darnell Pough
• Probene Q, LLC (Carepak Pharmacy)
• Ridgefield Park Board of Ed
• Ridgefield Park Medical Services P C
• Rite Aid
• Diana Rodriguez, DMD
• Raquel Rodriguez
• Shirleybe Rojas

• Dental Clinic/Center in Ridgefield Park, NJ
• Providers in Ridgefield Park, 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 Jun 10, 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.