NPIMap

Organization Active NPI

Grove Family Dental Inc

  • Dentist
  • Montclair, NJ
National Provider Identifier
1417336074
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GROVE FAMILY DENTAL INC
Practice address
129 Grove Street
Montclair, NJ 07042
Phone
(973) 509-0400
Fax
(973) 509-0477
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Ritu Sethi, D.D.S
Title
President
Phone
(973) 509-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

129 Grove Street
Montclair, NJ 07042

Mailing address

129 Grove Street
Grove Family Dental
Montclair, NJ 07042
Phone (973) 509-0400

Other identifiers 1

IdentifierTypeStateIssuer
0218316MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Grove Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1417336074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 GROVE STREET",
            "address_2": "GROVE FAMILY DENTAL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-509-0400",
            "fax_number": "973-509-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 GROVE STREET",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-509-0400",
            "fax_number": "973-509-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE FAMILY DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "SETHI",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-509-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218316",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.