Suburban Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01754300 Issued in NJ

Legal business name

SUBURBAN FAMILY DENTAL PC

Practice address

520 Stokes Rd
Building B-18
Medford, NJ 08055-2904

Phone

(609) 953-7400

Fax

(609) 953-4032

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter Duca, DMDNPI 1750489068

Title

Owner

Phone

(609) 953-7400

Specialties & licenses 1

Addresses

Locations

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.

• Peter Duca, DMD

  • General Practice Dentistry
  • Medford, NJ
  • NPI 1750489068
  Authorized official Same address or phone

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306951546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 STOKES RD",
            "address_2": "BUILDING B-18",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552904",
            "telephone_number": "609-953-7400",
            "fax_number": "609-953-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 STOKES RD",
            "address_2": "BUILDING B-18",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080552904",
            "telephone_number": "609-953-7400",
            "fax_number": "609-953-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUCA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-953-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01754300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Strazzullo, PT, DPT
• Joseph Strazzullo, DPT
• Bruce John Roy Stroud, PT
• Stuart H. Levy, D.D.S., PA
• Erica Suarez
• Sullivan Medical Equipment Co., Inc.
• Justine Sullivan, C.R.N.F.A.
• Samantha Sumara
• William Luke Summers, PSYD
• Supportive Counseling Services

• General Practice Dentistry in Medford, NJ
• Providers in Medford, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.