Organization Active NPI

Fort Lee First Dental Group

  • General Practice Dentistry
  • Fort Lee, NJ
National Provider Identifier
1356648232
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02462700 Issued in NJ
Legal business name
FORT LEE FIRST DENTAL GROUP
Practice address
246 Columbia Ave
Fort Lee, NJ 07024-4126
Phone
(201) 224-6865
NPI assigned
Feb 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Dr. Eric M Huang, DDS
Title
President
Phone
(201) 227-6865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI02462700 NJ Primary

Addresses

Primary practice location

246 Columbia Ave
Fort Lee, NJ 07024-4126

Mailing address

246 Columbia Ave
Fort Lee, NJ 07024-4126
Phone (201) 224-6865

National Provider Directory

National Provider Directory

Locations

246 Columbia Ave
Fort Lee, NJ 07024
Phone (201) 224-6865

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": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1356648232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 COLUMBIA AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244126",
            "telephone_number": "201-224-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 COLUMBIA AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244126",
            "telephone_number": "201-224-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LEE FIRST DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-227-6865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02462700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.