Dental Cosmetic Centre of Piscataway

Primary specialty

DentistTaxonomy code 122300000X

License

DI02591900 Issued in NJ

Legal business name

DENTAL COSMETIC CENTRE OF PISCATAWAY

Practice address

1100 Centennial Ave
Piscataway, NJ 08854-4152

Phone

(857) 225-6905

NPI assigned

Jan 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mamta Shah

Title

Owner

Phone

(732) 562-1111

Specialties & licenses 1

Addresses

Other names 1

• Doctor Silman Smile Spa Other name

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1558751941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 BLEW CT",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161838",
            "telephone_number": "857-225-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CENTENNIAL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544152",
            "telephone_number": "857-225-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL COSMETIC CENTRE OF PISCATAWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MAMTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-562-1111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02591900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor Silman Smile Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Delta Community Supports, Inc.
• Delta Community Supports, Inc.
• Archie Demartino
• Nicole Demarzo
• Joan Dennis, LPN
• Elaine Denton, LPC
• Yasmine Deol
• Brittany A Derogatis
• Ashish B Desai, LCSW
• Hetal Desai, COTA

• Dentist in Piscataway, NJ
• Providers in Piscataway, 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 23, 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.