Organization Active NPI

Hawthorne Family Dentistry

  • General Practice Dentistry
  • Hawthorne, NJ
National Provider Identifier
1336394113
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
02136800 Issued in NJ
Legal business name
HAWTHORNE FAMILY DENTISTRY
Practice address
354 Lincoln Ave
Hawthorne, NJ 07506-1200
Phone
(973) 427-9299
Fax
(973) 427-9295
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Ritesh A Shah, DDSNPI 1558574970
Title
Partner
Phone
(973) 427-9299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 02136800 NJ Primary

Addresses

Primary practice location

354 Lincoln Ave
Hawthorne, NJ 07506-1200

Mailing address

354 Lincoln Ave
Hawthorne, NJ 07506-1200
Phone (973) 427-9299

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1336394113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 LINCOLN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061200",
            "telephone_number": "973-427-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 LINCOLN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061200",
            "telephone_number": "973-427-9299",
            "fax_number": "973-427-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RITESH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-427-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "02136800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.