John R. Mully D.M.D., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11718 Issued in NJ

Legal business name

JOHN R. MULLY D.M.D., P.A.

Practice address

337 Market Street
Saddle Brook, NJ 07663

Phone

(201) 843-6677

Fax

(201) 843-5285

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Robert Mully, D.M.D.NPI 1891811956

Title

President

Phone

(201) 843-6677

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• John Robert Mully, D.M.D.

  • General Practice Dentistry
  • Saddle Brook, NJ
  • NPI 1891811956
  NPD (past) Authorized official
• Anthony Randazzo, D.M.D.

  • Dentist
  • Saddle Brook, NJ
  • NPI 1225435175
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336232065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 MARKET STREET",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "201-843-6677",
            "fax_number": "201-843-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 MARKET STREET",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "201-843-6677",
            "fax_number": "201-843-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R. MULLY D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-843-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "11718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interim Healthcare of Saddle Brook, Inc.
• Eun Jeong Jang
• Allison Mary Jaworski
• JCJ Physical Therapy, LLC
• Christi Jin, PH.D., O.M.D., L.AC.
• Devone-Marquis L Johnson
• Tina Kadehjian, PT
• Hyun Jung Kang, L.AC.
• Samantha Kaoutarani, NP
• Ruby Rabiya-Sheikh Kapadia, DO, MS

• General Practice Dentistry in Saddle Brook, NJ
• Providers in Saddle Brook, 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.