Anna Gazu DDS PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ANNA GAZU DDS PA

Doing business as

Marvel Dental

Practice address

1113 Main Ave
Clifton, NJ 07011

Phone

(973) 577-5700

Fax

(862) 227-4079

NPI assigned

Sep 3, 2020

Last updated

Sep 3, 2020By 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

Mrs. Mandeep Josan

Title

Manager

Phone

(732) 318-7122

Specialties & licenses 2

Addresses

Other names 1

• Marvel Dental Doing business as

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1356955728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E MOUNT PLEASANT AVENUE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "732-318-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-577-5700",
            "fax_number": "862-227-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA GAZU DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "JOSAN",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-318-7122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marvel Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.