NPIMap

Organization Active NPI

Community Smiles of Elizabeth PA

Doing business as Community Smiles

  • General Practice Dentistry
  • Hillside, NJ
National Provider Identifier
1376169094
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMMUNITY SMILES OF ELIZABETH PA
Doing business as
Community Smiles
Practice address
1100 N Broad St
Hillside, NJ 07205
Phone
(908) 409-7100
Fax
(908) 409-5300
NPI assigned
Jun 18, 2020
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Schanze Zaidi
Title
Compliance Officer
Phone
(609) 403-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1100 N Broad St
Hillside, NJ 07205

Mailing address

235 Meadowbrook Rd
Robbinsville, NJ 08691
Phone (732) 318-7121

Other names 1

  • Community Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

1100 N Broad St
Hillside, NJ 07205
Phone (732) 318-7121

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1376169094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MEADOWBROOK RD",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "732-318-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N BROAD ST",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "07205",
            "telephone_number": "908-409-7100",
            "fax_number": "908-409-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SMILES OF ELIZABETH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "ZAIDI",
        "authorized_official_first_name": "SCHANZE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "609-403-0710"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.