Skyview Dental Associates PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SKYVIEW DENTAL ASSOCIATES PC

Practice address

880 River Rd Ste 2
Edgewater, NJ 07020-7231

Phone

(848) 216-8367

Fax

(201) 548-5020

NPI assigned

Oct 30, 2020

Last updated

Jan 5, 2021By 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

Paul Kim, DDS

Title

President

Phone

(201) 705-3893

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1447850292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 RIVER RD STE 2",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070207231",
            "telephone_number": "848-216-8367",
            "fax_number": "201-548-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 RIVER RD STE 2",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070207231",
            "telephone_number": "848-216-8367",
            "fax_number": "201-548-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYVIEW DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-705-3893",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "22DI02472400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Shajenko, M.D.
• Danielle Frances Shedlock, OTR/L
• Caroline Tiese Sherman
• Shifa Therapy LLC
• Aleyna Soyoung Shin, MSN
• Skyview Dental Center LLP
• Smiles on the Hudson PC
• Anna Caroline Smith
• Audrey P Soboczynski, FNP-C
• Kevin M Soriano, MD

• General Practice Dentistry in Edgewater, NJ
• Providers in Edgewater, 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 Jan 5, 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.