NPIMap

Organization Active NPI

Audubon Oral Health Center

  • General Practice Dentistry
  • Audubon, NJ
National Provider Identifier
1346457397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02007800 Issued in NJ
Legal business name
AUDUBON ORAL HEALTH CENTER
Practice address
100 Blackhorse Pike
Suite D-4
Audubon, NJ 08106
Phone
(856) 546-1942
Fax
(856) 546-7305
NPI assigned
May 17, 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. Bahman Vojdani, D.M.D.NPI 1043427321
Title
Dentist
Phone
(856) 546-1942

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI02007800 NJ Primary

Addresses

Primary practice location

100 Blackhorse Pike
Suite D-4
Audubon, NJ 08106

Mailing address

100 Blackhorse Pike
Suite D-4
Audubon, NJ 08106
Phone (856) 546-1942

National Provider Directory

National Provider Directory

Locations

100 Black Horse Pike
Ste D4
Audubon, NJ 08106
Phone (856) 546-1942

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346457397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLACKHORSE PIKE",
            "address_2": "SUITE D-4",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "08106",
            "telephone_number": "856-546-1942",
            "fax_number": "856-546-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BLACKHORSE PIKE",
            "address_2": "SUITE D-4",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "08106",
            "telephone_number": "856-546-1942",
            "fax_number": "856-546-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON ORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOJDANI",
        "authorized_official_first_name": "BAHMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "856-546-1942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02007800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, 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.