NPIMap

Organization Active NPI

Greenwood Family Dentistry P.C.

  • Dental Clinic/Center
  • Trenton, NJ
National Provider Identifier
1366612806
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI01162400 Issued in NJ
Legal business name
GREENWOOD FAMILY DENTISTRY P.C.
Practice address
1902 Greenwood Ave
Trenton, NJ 08609-2310
Phone
(609) 587-6670
Fax
(609) 587-0212
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Richard L. Nedelman, D.D.S.NPI 1518009919
Title
President
Phone
(609) 587-6670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI01162400 NJ Primary

Addresses

Primary practice location

1902 Greenwood Ave
Trenton, NJ 08609-2310

Mailing address

1902 Greenwood Ave
Trenton, NJ 08609-2310
Phone (609) 587-6670

National Provider Directory

National Provider Directory

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": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1366612806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 GREENWOOD AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086092310",
            "telephone_number": "609-587-6670",
            "fax_number": "609-587-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 GREENWOOD AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086092310",
            "telephone_number": "609-587-6670",
            "fax_number": "609-587-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD FAMILY DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "NEDELMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-587-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI01162400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.