New West Caldwell Dental Group PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02002700 Issued in NJ

Legal business name

NEW WEST CALDWELL DENTAL GROUP PA

Practice address

700 Passaic Ave
West Caldwell, NJ 07006-6408

Phone

(973) 227-8188

Fax

(973) 299-5151

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allen Raimi

Title

Bookkeeper

Phone

(973) 769-4897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386860815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PASSAIC AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066408",
            "telephone_number": "973-227-8188",
            "fax_number": "973-299-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PASSAIC AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066408",
            "telephone_number": "973-227-8188",
            "fax_number": "973-299-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WEST CALDWELL DENTAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAIMI",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "973-769-4897"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02002700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in West Caldwell, NJ
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• 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.