East Hanover Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DI02025200 Issued in NJ

Legal business name

EAST HANOVER FAMILY DENTAL

Practice address

49 Ridgedale Ave
East Hanover, NJ 07936-1014

Phone

(973) 884-1144

NPI assigned

Jan 29, 2015

Last updated

Jan 29, 2015By 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

Dr. Mindy Ok, DMD

Title

Owner

Phone

(973) 495-7619

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1518357565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 DEFOREST AVE FL 3",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 RIDGEDALE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079361014",
            "telephone_number": "973-884-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HANOVER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "OK",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-495-7619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02025200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Theresa Downey-Freiman, RN MSN OCN
• Dr. Joseph L. Cavallo, OD
• Nicholas Dugan
• Douglas Dzema Jr., PT, DPT
• East Hanover Chiropractic & Wellness LLC
• Joyce Ann Echo, PH.D.
• Ejs Dental LLC
• Sara Marit Elizondo, PT
• Erica Tober ABA Consulting
• Kristen Anne Faigle

• Dentist in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.