Organization Active NPI

NJ Dental Care PA

  • Public Health Dentistry
  • Paterson, NJ
National Provider Identifier
1427723121
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
NJ DENTAL CARE PA
Practice address
1010 Main St
Suite #6
Paterson, NJ 07503
Phone
(973) 225-9975
NPI assigned
Aug 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Seyed Shahmedhdi, DMD
Title
Ceo
Phone
(609) 638-1024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

1010 Main St
Suite #6
Paterson, NJ 07503

Mailing address

81 Newark Pempton Tpke
Little Falls, NJ 07424
Phone (609) 638-1024

National Provider Directory

National Provider Directory

Locations

1010 Main St
Ste 6
Paterson, NJ 07503
Phone (973) 225-9975

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1427723121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 NEWARK PEMPTON TPKE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "609-638-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST",
            "address_2": "SUITE #6",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07503",
            "telephone_number": "973-225-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "SHAHMEDHDI",
        "authorized_official_first_name": "SEYED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-638-1024",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.