Organization Active NPI

Family Dental Clinic,Inc.

Doing business as Jamesburg Dental Center

  • General Practice Dentistry
  • Jersey City, NJ
National Provider Identifier
1528125382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1018950 Issued in NJ
Legal business name
FAMILY DENTAL CLINIC,INC.
Doing business as
Jamesburg Dental Center
Practice address
223 Mallory Ave
Jersey City, NJ 07304-1256
Phone
(201) 332-3358
Fax
(201) 332-4002
NPI assigned
Jan 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Musa P. Macapodi, D.D.S.NPI 1639236490
Title
President
Phone
(201) 332-3358

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 Dentistry 1223G0001X D1018950 NJ Primary

Addresses

Primary practice location

223 Mallory Ave
Jersey City, NJ 07304-1256

Mailing address

223 Mallory Ave
Jersey City, NJ 07304-1256
Phone (201) 332-3358

Other names 1

  • Jamesburg Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528125382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MALLORY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041256",
            "telephone_number": "201-332-3358",
            "fax_number": "201-332-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MALLORY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041256",
            "telephone_number": "201-332-3358",
            "fax_number": "201-332-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CLINIC,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACAPODI",
        "authorized_official_first_name": "MUSA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-332-3358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "D1018950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamesburg Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, 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.