Garden State Dental Associates, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DI16410 Issued in NJ

Legal business name

GARDEN STATE DENTAL ASSOCIATES, LLC

Practice address

236 East Westfield Avenue
Roselle Park, NJ 07204

Phone

(201) 291-0935

Fax

(480) 772-4538

NPI assigned

Nov 28, 2006

Last updated

Jun 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Craig Abramowitz

Title

Ceo

Phone

(908) 241-9700

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert W Mermer, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Voorhees, NJ
  • NPI 1255372421
  NPD (past)
• Steven J Reisman, D.M.D.

  • Dentist
  • Voorhees, NJ
  • NPI 1174634653
  NPD (past)
• Robin C Windl, D.D.S.

  • Prosthodontics
  • Voorhees, NJ
  • NPI 1437260932
  NPD (past)
• Jack Piermatti, D.M.D.

  • Prosthodontics
  • Davie, FL
  • NPI 1437122025
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1437226495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E. WESTFIELD AVENUE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "07204",
            "telephone_number": "908-241-9700",
            "fax_number": "908-241-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 EAST WESTFIELD AVENUE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "07204",
            "telephone_number": "201-291-0935",
            "fax_number": "480-772-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "ABRAMOWITZ",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-241-9700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI16410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlie Michelle Forman, BCBA, LBA
• Diana Patricia Foronda
• Kathryn Frey
• Michael H Friedman, MD
• Ricardo Garcia
• Joel C Gelbman, DDS
• Bindu P George
• Richard Edwin Glass, D.C.
• Tasha Lee Godbolt
• Manuel Alcides Gonzalez, DDS

• Dentist in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.