Park Dental Associates, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01728600 Issued in NJ

Legal business name

PARK DENTAL ASSOCIATES, INC

Practice address

560 Bergen Blvd
Ridgefield, NJ 07657-2024

Phone

(201) 945-4477

Fax

(201) 945-5233

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By 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

Dr. Alice SaraydarianNPI 1922296300

Title

President

Phone

(201) 945-4411

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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.

• Alice Saraydarian, D.M.D.

  • General Practice Dentistry
  • Ridgefield, NJ
  • NPI 1922296300
  NPD (past) Authorized official
• Caroline Kim Ahn, DMD

  • Endodontics
  • Ridgefield, NJ
  • NPI 1295997161
  NPD (past)
• Jeni Glavicic, D.M.D.

  • General Practice Dentistry
  • Ridgefield, NJ
  • NPI 1316130388
  NPD (past)
• Christopher J Classi, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1467032995
  NPD (past)

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1407391097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572024",
            "telephone_number": "201-945-4477",
            "fax_number": "201-945-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572024",
            "telephone_number": "201-945-4477",
            "fax_number": "201-945-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "SARAYDARIAN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-945-4411",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01668000",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01728600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristymay Ocampo
• Joan M. Oconnell, LSW
• Aida A Opao, MD
• Palisades Park Pain & Rehabilitation Medicine, PA
• Park Dental Arts, LLC
• Wonil Park, M.D.
• Partners Medical Supplies Inc.
• Aditiben Kanubhai Patel
• Path to Peace Counseling LLC
• Pediatric Speech Solutions (Speechie Students)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.