Advanced Dental Center of Cedar Knolls PA

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ADVANCED DENTAL CENTER OF CEDAR KNOLLS PA

Practice address

197 Ridgedale Ave Ste 245
Cedar Knolls, NJ 07927-2107

Phone

(973) 889-1900

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

George Schmidt, DMDNPI 1902948573

Title

Owner

Phone

(973) 889-1900

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.

• George J Schmidt Jr., DMD

  • Dentist
  • Cedar Knolls, NJ
  • NPI 1902948573
  NPD Authorized official
• David Issam Sabat

  • Dentist
  • Hackensack, NJ
  • NPI 1952043044
  NPD (past)

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1407473564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 245",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272107",
            "telephone_number": "973-889-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIDGEDALE AVE STE 245",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272107",
            "telephone_number": "973-889-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CENTER OF CEDAR KNOLLS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-889-1900",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.