Organization Active NPI

Marmora Family Dental Associates, PC

  • General Practice Dentistry
  • Marmora, NJ
National Provider Identifier
1295755007
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI16130 Issued in NJ
Legal business name
MARMORA FAMILY DENTAL ASSOCIATES, PC
Practice address
447 Route US 9 S
Marmora, NJ 08223-1292
Phone
(609) 390-0111
Fax
(609) 390-0727
NPI assigned
Jul 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Albert S Harris, DMDNPI 1306869953
Title
Coowner
Phone
(609) 390-0111

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
General Practice Dentistry 1223G0001X DI16130 NJ Primary

Addresses

Primary practice location

447 Route US 9 S
Marmora, NJ 08223-1292

Mailing address

447 Route US 9 S
Marmora, NJ 08223-1292
Phone (609) 390-0111

National Provider Directory

National Provider Directory

Locations

447 Route US 9 S
Marmora, NJ 08223
Phone (609) 390-0111

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295755007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 ROUTE US 9 S",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231292",
            "telephone_number": "609-390-0111",
            "fax_number": "609-390-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 ROUTE US 9 S",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231292",
            "telephone_number": "609-390-0111",
            "fax_number": "609-390-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARMORA FAMILY DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "609-390-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI16130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, 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.