NPIMap

Organization Active NPI

Middlesex Family Dental

  • General Practice Dentistry
  • Middlesex, NJ
National Provider Identifier
1457086647
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MIDDLESEX FAMILY DENTAL
Practice address
77 Main St
Middlesex, NJ 08846-1513
Phone
(732) 926-1234
NPI assigned
Jul 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Merlin KuriakoseNPI 1104211762
Title
Dentist Owner
Phone
(732) 666-3714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

77 Main St
Middlesex, NJ 08846-1513

Mailing address

75 Park Gate Dr
Edison, NJ 08820-4033

National Provider Directory

National Provider Directory

Locations

77 Main St
Middlesex, NJ 08846
Phone (732) 926-1234

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": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457086647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PARK GATE DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN ST",
            "city": "MIDDLESEX",
            "state": "NJ",
            "postal_code": "088461513",
            "telephone_number": "732-926-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KURIAKOSE",
        "authorized_official_first_name": "MERLIN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "732-666-3714",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.