Bergen Periodontics LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

BERGEN PERIODONTICS LLC

Practice address

153 Fort Lee Rd
Teaneck, NJ 07666-3984

Phone

(212) 996-3124

NPI assigned

Jul 7, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Amir Ahmadi, DDS

Title

Owner / Periodontist

Phone

(212) 996-3124

Specialties & licenses 2

Addresses

Other names 1

• Amir Ahmadi DDS Other name

Locations

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1316837818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 FORT LEE RD FL 1",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663984",
            "telephone_number": "212-996-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 FORT LEE RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663984",
            "telephone_number": "212-996-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PERIODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "AHMADI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER / PERIODONTIST",
        "authorized_official_telephone_number": "212-996-3124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amir Ahmadi DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Periodontics in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.