NPIMap

Organization Active NPI

All City Dental Services

  • General Practice Dentistry
  • Newark, NJ
National Provider Identifier
1487879128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20295 Issued in NJ
Legal business name
ALL CITY DENTAL SERVICES
Practice address
644 Mt. Prospect Ave
Newark, NJ 07104
Phone
(973) 481-3900
Fax
(973) 481-2999
NPI assigned
Apr 16, 2007
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. Fariba SharifanNPI 1619031374
Title
Dentist
Phone
(973) 481-3900

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 20295 NJ Primary

Addresses

Primary practice location

644 Mt. Prospect Ave
Newark, NJ 07104

Mailing address

644 Mt. Prospect Ave
Newark, NJ 07104
Phone (973) 481-3900

Other identifiers 5

IdentifierTypeStateIssuer
1101738OtherNJNJ HEALTH
7943601MedicaidNJ
3128903MedicaidNJ
011070OtherNJDORAL DENTAL
D0000031300OtherNJAMERICHOICE

National Provider Directory

National Provider Directory

Locations

639 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 481-3900

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487879128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 MT. PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07104",
            "telephone_number": "973-481-3900",
            "fax_number": "973-481-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 MT. PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07104",
            "telephone_number": "973-481-3900",
            "fax_number": "973-481-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL CITY DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARIFAN",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-481-3900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "20295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ HEALTH",
            "identifier": "1101738",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7943601",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3128903",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "011070",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "D0000031300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, 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.