Wall Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WALL PEDIATRIC DENTISTRY LLC

Practice address

2107 Route 34
Wall Township, NJ 07719-9104

Phone

(732) 963-2130

Fax

(732) 963-2134

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Berchin, DDSNPI 1942732284

Title

Owner Dentist

Phone

(347) 598-1782

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.

• Stephen Berchin, D.D.S

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1942732284
  NPD Authorized official

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1326878950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 ROUTE 34",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199104",
            "telephone_number": "732-963-2130",
            "fax_number": "732-963-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 ROUTE 34",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199104",
            "telephone_number": "732-963-2130",
            "fax_number": "732-963-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BERCHIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "347-598-1782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanitha Yadalla MD LLC
• Dean J Vanover
• Ravi Verma, M.D.
• Katrina Vitiello, LAC
• Nicole Walker
• Wall Township Board of Education
• Kathleen S Walsh, M.D.
• Sara Weaver
• Charles Alfred Weber, MD
• Tricia Weckenman, MS CCC-SLP

• Pediatric Dentistry in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Pediatric Dentistry in New Jersey

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