GSRB

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GSRB

Doing business as

Dentalarts Group Pitman

Practice address

102 Pitman Ave
Pitman, NJ 08071-1572

Phone

(856) 589-5737

Fax

(856) 589-2670

NPI assigned

Mar 9, 2017

Last updated

Mar 9, 2017By 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

Mrs. Rafaela Agosto

Title

Practice Administrator

Phone

(267) 334-0082

Specialties & licenses 1

Addresses

Other names 1

• DENTALARTS GROUP PITMAN Doing business as

Locations

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1467993576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PITMAN AVE",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711572",
            "telephone_number": "856-589-5737",
            "fax_number": "856-589-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PITMAN AVE",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711572",
            "telephone_number": "856-589-5737",
            "fax_number": "856-589-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSRB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "AGOSTO",
        "authorized_official_first_name": "RAFAELA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "267-334-0082",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTALARTS GROUP PITMAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Kevin Foody
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• Diane M Gruszewski, LCSW
• Jessica Harrison, PT, DPT, ATC
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• General Practice Dentistry in Pitman, NJ
• Providers in Pitman, 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 Mar 9, 2017; 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.