River Edge Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DI02140900 Issued in NJ

Legal business name

RIVER EDGE FAMILY DENTAL

Practice address

130 Kinderkamack Rd
Suite 303
River Edge, NJ 07661-1939

Phone

(201) 343-4044

NPI assigned

Jan 14, 2014

Last updated

Jan 14, 2014By 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. Marlen Martirossian, D.D.S.NPI 1780734277

Title

President/Owner

Phone

(201) 343-4044

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, and the practitioner matching its NPPES authorized official.

• Marlen Martirossian, D.D.S.

  • General Practice Dentistry
  • River Edge, NJ
  • NPI 1780734277
  Authorized official Same address or phone

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1346662012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 KINDERKAMACK RD",
            "address_2": "SUITE 303",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611939",
            "telephone_number": "201-343-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 KINDERKAMACK RD",
            "address_2": "SUITE 303",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611939",
            "telephone_number": "201-343-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER EDGE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "MARTIROSSIAN",
        "authorized_official_first_name": "MARLEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "201-343-4044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02140900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azriel Rauzman, D.D.S.
• Margaret S Ravits, MD
• Sara-Kate Ray, MA
• Daniel A Rector, RN
• River Dell Acupuncture Wellness PC
• River Edge Physical Therapy and Performance Lab
• Riverside Oral Surgery-River Edge
• Rock Star Music LLC (Bach to Rock)
• Eric R Rosendorf, MD
• James A Ruggiero, D.MD

• Dentist in River Edge, NJ
• Providers in River Edge, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.