Chestnut Plaza Dental Center PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI01365303 Issued in NJ

Legal business name

CHESTNUT PLAZA DENTAL CENTER PA

Practice address

831 Main Ave
Passaic, NJ 07055-8400

Phone

(973) 405-5000

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David M Mayer, DMD

Title

President

Phone

(973) 405-5000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1447402359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558400",
            "telephone_number": "973-405-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558400",
            "telephone_number": "973-405-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT PLAZA DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-405-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI01365303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175536",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chestnut Hill Convalescent & Rehabilitation Center
• Chestnut Hill Convalescent Center
• Chestnut Hill Residence
• Chestnut Hill Residence
• Chestnut Hill Residences by Complete Care
• Chestnuthill Physicians Group
• Gurmeet Chhabra, M.D.
• Peter Chiacchiaro, LCSW
• Children'S Dentistry of Passaic LLC
• Ara Cho

• Dental Clinic/Center in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.