Galleria Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02217200 Issued in NJ

Legal business name

GALLERIA DENTAL GROUP LLC

Practice address

100 Route 9
Suite11
Manalapan, NJ 07726-3014

Phone

(732) 462-5511

Fax

(732) 462-5611

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Polina Barenbaum, DDS

Title

Partner

Phone

(732) 462-5511

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.

• Ellen Pikus-Katz, DDS

  • General Practice Dentistry
  • Manalapan, NJ
  • NPI 1457447542
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1356536379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 9",
            "address_2": "SUITE11",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263014",
            "telephone_number": "732-462-5511",
            "fax_number": "732-462-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROUTE 9",
            "address_2": "SUITE11",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263014",
            "telephone_number": "732-462-5511",
            "fax_number": "732-462-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "BARENBAUM",
        "authorized_official_first_name": "POLINA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-462-5511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02217200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Gabbay, OTR
• Amanda Gagliano
• Vincent James Galantucci, DMD
• Kerry Allyson Gallagher, DMD
• Glenda Susana Gallardo Menendez, LAC
• Kerrianne Galvin, LSW
• Janet Gail Gambardella, S.T.
• Sanjay Pankaj Gandhi, D.P.M.
• Emily Garcia
• Garden State Chiropractic Center, LLC

• General Practice Dentistry in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.