Organization Active NPI

Bergen Family and Cosmetic Dentistry LLC

  • General Practice Dentistry
  • Hackensack, NJ
National Provider Identifier
1558716779
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02541400 Issued in NJ
Legal business name
BERGEN FAMILY AND COSMETIC DENTISTRY LLC
Practice address
46 Berkshire PL
Apt # 3
Hackensack, NJ 07601-7258
Phone
(312) 215-0028
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Anuneeti Singla, DDS
Title
Dentist
Phone
(312) 215-0028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI02541400 NJ Primary

Addresses

Primary practice location

46 Berkshire PL
Apt # 3
Hackensack, NJ 07601-7258

Mailing address

46 Berkshire PL
Apt # 3
Hackensack, NJ 07601-7258

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1558716779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BERKSHIRE PL",
            "address_2": "APT # 3",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BERKSHIRE PL",
            "address_2": "APT # 3",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017258",
            "telephone_number": "312-215-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN FAMILY AND COSMETIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "SINGLA",
        "authorized_official_first_name": "ANUNEETI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "312-215-0028",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02541400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.