Benjamin Dylan Golub

Primary specialty

DentistTaxonomy code 122300000X

License

22DIO2894100 Issued in NJ

Practice address

50 Blueberry Dr
Woodcliff Lake, NJ 07677-8106

Phone

(201) 543-9741

NPI assigned

Apr 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1326677204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BLUEBERRY DRIVE",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "07677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BLUEBERRY DR",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778106",
            "telephone_number": "201-543-9741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Old Hook Road",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "07675",
            "country_code": "US",
            "telephone_number": "201-722-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2185 Lemoine Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070246036",
            "country_code": "US",
            "telephone_number": "201-543-9741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "BENJAMIN",
        "middle_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO2894101",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DIO2894100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralda Georges, HEALTH COACH
• Jennifer Gerardi, MS, LPC
• Aimee M Gershberg
• Diana Patricia Gil-Chavez, LCSW
• Joshua Matthew Goldstein, PSYD
• Zachary A Golub
• Grace Acupuncture and Herbal Medicine, LLC
• Great Atlantic & Pacific Tea Company Inc (A & P Pharmacy)
• Veronica Marie Greenan, RN,BSN,APN-C
• Natasha Grillo

• Dentist in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.