21St Century Dental Care PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI02177200 Issued in NJ

Legal business name

21ST CENTURY DENTAL CARE PC

Practice address

413 King George Rd
Suite 201
Basking Ridge, NJ 07920-2816

Phone

(908) 604-5959

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Vitalu Friedman

Title

President

Phone

(908) 604-5959

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.

• Vitaly Friedman, DDS

  • General Practice Dentistry
  • Basking Ridge, NJ
  • NPI 1871617852
  NPD (past)

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1346606969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 KING GEORGE RD",
            "address_2": "SUITE 201",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202816",
            "telephone_number": "908-604-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 KING GEORGE RD",
            "address_2": "SUITE 201",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202816",
            "telephone_number": "908-604-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "VITALU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-604-5959"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02177200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda R Aboody, MD
• Acorn Physical Therapy LLC (Acorn Physical Therapy)
• Adar Educational Services a NJ Nonprofit Corporation
• Adult Day Center of the Visiting Nurse Association of Somerset Hills,
• Advocare , LLC (Advocare Basking Ridge Pediatrics)

• Dental Clinic/Center in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.