Union City Smiline Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01912600 Issued in NJ

Legal business name

UNION CITY SMILINE DENTAL, P.C.

Practice address

3906 Bergenline Ave.
Union City, NJ 07087

Phone

(201) 330-7600

Fax

(201) 330-0298

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Usha Polavarapu, D.D.S

Title

Dentist

Phone

(973) 372-5640

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1417291345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-330-7600",
            "fax_number": "201-330-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 BERGENLINE AVE.",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-330-7600",
            "fax_number": "201-330-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION CITY SMILINE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "POLAVARAPU",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-372-5640",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01912600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7421109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Union City Medical Care LLC
• Union City Medical Group LLC
• Union City Oms Group, P.C.
• Union City Pharmacy
• Union City Renal Center, LLC
• Union City Spine and Pain Associates, LLC
• Union City Vision Care PC
• Union Dentistry
• Union Shinbi Acupuncture, P.C.
• Jelena Urosev, DDS

• Dentist in Union City, NJ
• Providers in Union City, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.