Organization Active NPI

Boom Smiles Secaucus PC

  • Dentist
  • Secaucus, NJ
National Provider Identifier
1568375608
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BOOM SMILES SECAUCUS PC
Practice address
333 Meadowlands Pkwy
Secaucus, NJ 07094-1804
Phone
(201) 864-2600
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLABH DENTAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Sherri Fetherman
Title
Office Manager
Phone
(973) 868-4131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

333 Meadowlands Pkwy
Secaucus, NJ 07094-1804

Mailing address

333 Meadowlands Pkwy
Secaucus, NJ 07094-1804
Phone (201) 864-2600

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1568375608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070941804",
            "telephone_number": "201-864-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070941804",
            "telephone_number": "201-864-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOM SMILES SECAUCUS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLABH DENTAL GROUP LLC",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "FETHERMAN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-868-4131"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.