NPIMap

Organization Active NPI

Bridge Family Dental GRP PA

Doing business as Charles D Lott DMD

  • Dentist
  • Somerville, NJ
National Provider Identifier
1568526291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D1009270 01 Issued in NJ
Legal business name
BRIDGE FAMILY DENTAL GRP PA
Doing business as
Charles D Lott DMD
Practice address
15 N Bridge St
Somerville, NJ 08876-2110
Phone
(908) 725-0400
Fax
(908) 725-1148
NPI assigned
Dec 20, 2006
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. Charles D Lott, DMDNPI 1982975462
Title
President
Phone
(908) 782-4418

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22D1009270 01 NJ Primary

Addresses

Primary practice location

15 N Bridge St
Somerville, NJ 08876-2110

Mailing address

820 Rte 202 N
Neshanic Station, NJ 08853
Phone (908) 782-4418

Other identifiers 1

IdentifierTypeStateIssuer
1904906MedicaidNJ

Other names 1

  • Charles D Lott DMD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568526291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 RTE 202 N",
            "city": "NESHANIC STATION",
            "state": "NJ",
            "postal_code": "08853",
            "telephone_number": "908-782-4418",
            "fax_number": "908-782-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N BRIDGE ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762110",
            "telephone_number": "908-725-0400",
            "fax_number": "908-725-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE FAMILY DENTAL GRP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-782-4418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D1009270 01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1904906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles D Lott DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, 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.