Pearl Smile Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02508600 Issued in NJ

Legal business name

PEARL SMILE DENTAL PC

Practice address

4900 Bergenline Ave
2ND Floor
Union City, NJ 07087-1611

Phone

(201) 866-3000

Fax

(201) 866-3001

NPI assigned

May 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rashid I Khalid, DMD

Title

Owner

Phone

(201) 866-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West New York Dental Other name

Locations

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1417335985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BERGENLINE AVE",
            "address_2": "2ND FLOOR",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871611",
            "telephone_number": "201-866-3000",
            "fax_number": "201-866-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BERGENLINE AVE",
            "address_2": "2ND FLOOR",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871611",
            "telephone_number": "201-866-3000",
            "fax_number": "201-866-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL SMILE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "KHALID",
        "authorized_official_first_name": "RASHID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-866-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02508600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310867",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West New York Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tejal Patel, BDS, DMD
• Vimal R Patel I, PHARM.D
• Dulcine G Paul Jr., LPN
• Michelle S Paulino, LAC
• Katherine Pavlica, MS, OT
• Pelvic PT Rehabilitation
• Gilda Pena Tejada, M.D.
• Peoples RX Incorporated (The People's Pharmacy Shoppe)
• Candice Perez
• Ruben Perez, M.D.

• General Practice Dentistry in Union City, NJ
• Providers in Union City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.