Fort Lee Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FORT LEE SMILES

Practice address

1530 Palisade Ave Ste 101
Fort Lee, NJ 07024-5470

Phone

(201) 941-4040

Fax

(201) 944-4041

NPI assigned

May 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Simon Gedeon, D.M.D.

Title

Owner

Phone

(201) 944-4040

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Richard Mark Kagan, DDS

  • Dentist
  • Fort Lee, NJ
  • NPI 1194168146
  NPD (past)
• Andrew C Korinis, DDS

  • Dentist
  • Fort Lee, NJ
  • NPI 1386808251
  NPD (past)

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1366890642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 PALISADE AVE STE 101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245470",
            "telephone_number": "201-941-4040",
            "fax_number": "201-944-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 PALISADE AVE STE 101",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245470",
            "telephone_number": "201-941-4040",
            "fax_number": "201-944-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LEE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "GEDEON",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-944-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Lee Pharmacy & Surgical Inc
• Fort Lee Pharmacy & Surgical Inc
• Fort Lee Physical Therapy, P.C.
• Fort Lee Podiatry Group LLC
• Fort Lee Rehabilitation
• Fort Lee Therapy Group
• Fort Lee Vision LLC
• Naomi Fox, MSW LCSW
• Richard D Fox, MD
• Fred Lee MD Orthopaedic Surgery PC

• General Practice Dentistry in Fort Lee, NJ
• Providers in Fort Lee, 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 May 27, 2016; 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.