Organization Active NPI

Mountainside Crossing Family Dental

  • General Practice Dentistry
  • Mountainside, NJ
National Provider Identifier
1306715081
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOUNTAINSIDE CROSSING FAMILY DENTAL
Practice address
1104 Springfield Ave
Mountainside, NJ 07092-2906
Phone
(908) 232-6900
NPI assigned
Nov 1, 2025
Last updated
Nov 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Authorized official

Name
Dr. Robert Kudla Jr., DMDNPI 1164039400
Title
Owner
Phone
(908) 232-6900

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 NU Primary

Addresses

Primary practice location

1104 Springfield Ave
Mountainside, NJ 07092-2906

Mailing address

1104 Springfield Ave
Mountainside, NJ 07092-2906
Phone (908) 232-6900

National Provider Directory

National Provider Directory

Locations

1104 Springfield Ave
Mountainside, NJ 07092
Phone (908) 232-6900

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": "1761955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761955200000",
    "number": "1306715081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 SPRINGFIELD AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922906",
            "telephone_number": "908-232-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 SPRINGFIELD AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922906",
            "telephone_number": "908-232-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE CROSSING FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-01",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A",
        "authorized_official_last_name": "KUDLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-232-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; 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.