NPIMap

Organization Active NPI

Smart Choice Dental One. P.C.

  • General Practice Dentistry
  • Metuchen, NJ
National Provider Identifier
1366527871
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI20201 Issued in NJ
Legal business name
SMART CHOICE DENTAL ONE. P.C.
Practice address
450 Main Street
Metuchen, NJ 08840
Phone
(732) 452-0222
Fax
(732) 452-0220
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Susan Krutyansky, D.D.S.
Title
Vice President
Phone
(732) 452-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI20201 NJ Primary

Addresses

Primary practice location

450 Main Street
Metuchen, NJ 08840

Mailing address

450 Main Street
Metuchen, NJ 08840
Phone (732) 452-0222

Other identifiers 1

IdentifierTypeStateIssuer
7956304MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Smart Choice Dental One PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1366527871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MAIN STREET",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "08840",
            "telephone_number": "732-452-0222",
            "fax_number": "732-452-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MAIN STREET",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "08840",
            "telephone_number": "732-452-0222",
            "fax_number": "732-452-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART CHOICE DENTAL ONE. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "KRUTYANSKY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-452-0222",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7956304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.