Organization Active NPI

Broadway Family Dental

  • General Practice Dentistry
  • Fair Lawn, NJ
National Provider Identifier
1346361003
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI017839 Issued in NJ
Legal business name
BROADWAY FAMILY DENTAL
Practice address
32-16 Broadway
Fair Lawn, NJ 07410-4600
Phone
(201) 797-8600
Fax
(201) 797-5552
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sadettin Sen, D.D.S.
Title
Dr. Sen
Phone
(201) 797-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI017839 NJ Primary

Addresses

Primary practice location

32-16 Broadway
Fair Lawn, NJ 07410-4600

Mailing address

PO Box 2506
Fair Lawn, NJ 07410-8406
Phone (201) 797-8600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346361003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2506",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074108406",
            "telephone_number": "201-797-8600",
            "fax_number": "201-797-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-16 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104600",
            "telephone_number": "201-797-8600",
            "fax_number": "201-797-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEN",
        "authorized_official_first_name": "SADETTIN",
        "authorized_official_title_or_position": "DR. SEN",
        "authorized_official_telephone_number": "201-797-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI017839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • 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.