Washington Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01829100 Issued in NJ

Legal business name

WASHINGTON DENTAL ASSOCIATES

Practice address

19 Legion Dr
Bergenfield, NJ 07621-2314

Phone

(201) 384-2425

Fax

(201) 384-5642

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Darren W Tong, D.D.S.NPI 1487869145

Title

Vice President

Phone

(201) 384-2425

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darren Tong, D.D.S.

  • General Practice Dentistry
  • Bergenfield, NJ
  • NPI 1487869145
  NPD (past) Authorized official
• Mariliza Lacap, D.D.S.

  • General Practice Dentistry
  • Bergenfield, NJ
  • NPI 1679788327
  NPD (past)
• Evan Robert Lebov, DMD

  • General Practice Dentistry
  • Bergenfield, NJ
  • NPI 1528748936
  NPD (past)
• Yohan Kim, DMD

  • General Practice Dentistry
  • New York, NY
  • NPI 1831403385
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366657017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LEGION DR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212314",
            "telephone_number": "201-384-2425",
            "fax_number": "201-384-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LEGION DR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212314",
            "telephone_number": "201-384-2425",
            "fax_number": "201-384-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "201-384-2425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01829100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Amana Wang, D.C.
• Washington Pediatric Dentisry, LLC
• Way Rehab Services
• Way Rehab Services
• Josef M Weisgras, MD
• Dina Westrich, MD

• General Practice Dentistry in Bergenfield, NJ
• Providers in Bergenfield, 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 Aug 22, 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.