Posh Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

POSH DENTAL LLC

Practice address

39 Tallman PL Ste 2
Englewood, NJ 07631-2702

Phone

(201) 899-7916

NPI assigned

May 29, 2019

Organization subpart

No

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

Authorized official

Name

Joseph Moussa

Title

Owner

Phone

(201) 899-7916

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1508424284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 TALLMAN PL STE 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 TALLMAN PL STE 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312702",
            "telephone_number": "201-899-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSH DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MOUSSA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-899-7916"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR OF DENTAL SURGERY",
            "identifier": "22948",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Pollock
• Peter Radu Popa, MD
• Danielle Jean Rose Pope
• Diana M Portilla, MD
• Viviana Portillo, DMD
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• Addminas N/a Powell
• Peter Joseph Powers, LCSW
• Therese Powers, M.S, P.A.-C
• Premier Cardiac Care LLC

• General Practice Dentistry in Englewood, NJ
• Providers in Englewood, 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 Jun 11, 2019; 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.