NPIMap

Organization Active NPI

Bergen Premiere Dentistry LLC

  • Dentist
  • Ramsey, NJ
National Provider Identifier
1497363071
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BERGEN PREMIERE DENTISTRY LLC
Practice address
245 E Main St
Ramsey, NJ 07446-1942
Phone
(201) 746-4614
Fax
(862) 377-6111
NPI assigned
Jul 20, 2020
Last updated
Jul 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Ewa Ciecierega, DMDNPI 1124215314
Title
Owner
Phone
(973) 699-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

245 E Main St
Ramsey, NJ 07446-1942

Mailing address

245 E Main St
Ramsey, NJ 07446-1942
Phone (201) 746-4614

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1497363071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E MAIN ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461942",
            "telephone_number": "201-746-4614",
            "fax_number": "862-377-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E MAIN ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461942",
            "telephone_number": "201-746-4614",
            "fax_number": "862-377-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PREMIERE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "CIECIEREGA",
        "authorized_official_first_name": "EWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-699-0808",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.