Bergen Smiles Dental Clinic, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

22DI02509100 Issued in NJ

Legal business name

BERGEN SMILES DENTAL CLINIC, LLC

Practice address

24 Godwin Ave Ste 102
Midland Park, NJ 07432-1962

Phone

(917) 790-9905

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Liany Farinas-Han, DMDNPI 1104173475

Title

Dentist/Onwer

Phone

(917) 790-9905

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liany Farinas-Han, DMD

  • General Practice Dentistry
  • Midland Park, NJ
  • NPI 1104173475
  NPD (past) Authorized official

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1487021309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GODWIN AVE STE 102",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321962",
            "telephone_number": "917-790-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GODWIN AVE STE 102",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321962",
            "telephone_number": "917-790-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN SMILES DENTAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "FARINAS-HAN",
        "authorized_official_first_name": "LIANY",
        "authorized_official_title_or_position": "DENTIST/ONWER",
        "authorized_official_telephone_number": "917-790-9905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "22DI02509100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard David Baum, MD
• Valerie Baumann, M.A. CCC-SLP
• Elizabeth Belfiore
• Steven D Belt, M.D.
• Bergen CBT, LLC
• Kelsey Oakes Bisson, LCSW
• Benjamin Isaac Bittman
• Jessica W Blume, MD
• Christine Rauscher Boi, RDN
• Peter S Boustani, OT

• Preferred Provider Organization in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.