Summit Dental Group Riverdale LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02140400 Issued in NJ

Legal business name

SUMMIT DENTAL GROUP RIVERDALE LLC

Practice address

92 State RT 23
Riverdale, NJ 07457-1203

Phone

(201) 891-7400

NPI assigned

Feb 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lorino, D.M.D.

Title

Member/Owner

Phone

(973) 342-1233

Specialties & licenses 2

Addresses

Other names 1

• Summit Dental Group Doing business as

Locations

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1386984243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MEADOW LN",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171112",
            "telephone_number": "973-342-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 STATE RT 23",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571203",
            "telephone_number": "201-891-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL GROUP RIVERDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "LORINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "973-342-1233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02140400",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02152600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Smith, M.D.
• Avery Specchio, OTR/L
• Eileen Waterbury Stahl, PH.D.
• Gary C Stewart, D.C.
• Gerald Joseph Struble III, PT, DPT
• Tommy Sutor, MS, CSCS
• Ernest Tanson
• Howard Taylor, M.D.
• Richard Joseph Teehan IV, P.T., D.P.T.
• The Gem Medical Group

• Dentist in Riverdale, NJ
• Providers in Riverdale, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.