Organization Active NPI

Dr. Wayne Graber and Dr. Brian M. Peters, P.a.

Doing business as Bear Brook Commons Dental Group

  • General Practice Dentistry
  • Marlboro, NJ
National Provider Identifier
1467511873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13719 Issued in NJ
Legal business name
DR. WAYNE GRABER AND DR. BRIAN M. PETERS, P.A.
Doing business as
Bear Brook Commons Dental Group
Practice address
455 County Road 520
Suite 5
Marlboro, NJ 07746-2258
Phone
(732) 591-8555
Fax
(732) 591-0434
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Michael Peters, D.M.D.
Title
President
Phone
(732) 591-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13719 NJ Primary

Addresses

Primary practice location

455 County Road 520
Suite 5
Marlboro, NJ 07746-2258

Mailing address

455 County Road 520
Suite 5
Marlboro, NJ 07746-2258
Phone (732) 591-8555

Other names 1

  • Bear Brook Commons Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bear Brook Commons Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

455 County Road 520
Ste 5
Marlboro, NJ 07746
Phone (732) 591-8555

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467511873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 COUNTY ROAD 520",
            "address_2": "SUITE 5",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462258",
            "telephone_number": "732-591-8555",
            "fax_number": "732-591-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 COUNTY ROAD 520",
            "address_2": "SUITE 5",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462258",
            "telephone_number": "732-591-8555",
            "fax_number": "732-591-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WAYNE GRABER AND DR. BRIAN M. PETERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-591-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "13719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Brook Commons Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.