Brunswick Valley Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22D101068300 Issued in NJ

Legal business name

BRUNSWICK VALLEY ORTHODONTICS, LLC

Practice address

3176 RT 27
Suite 1B
Kendall Park, NJ 08824

Phone

(732) 396-1900

Fax

(732) 398-9791

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Frederic C Steritt, D.M.D.

Title

President

Phone

(732) 398-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1417106444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 RT 27",
            "address_2": "SUITE 1B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-396-1900",
            "fax_number": "732-398-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 RT 27",
            "address_2": "SUITE 1B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-396-1900",
            "fax_number": "732-398-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK VALLEY ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "STERITT",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-398-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22D101068300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobak Bidabadi, M.D.
• Marideanne Blomgren, LPC
• Ronnie Bochner, M.D.
• Patricia M. Brady, ED.D.
• Brunswick Internal Medicine Group PC
• Michelle Caban, M.D.
• Bonnie Lou Camo, M.D.
• Timothy J Caulfield, PT, DPT
• Center for Psychology and Counseling
• Central New Jersey Allergy and Asthma Associates, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Kendall Park, NJ
• Providers in Kendall Park, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.