Stonegate Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STONEGATE DENTAL LLC

Practice address

101 Old Short Hills Rd Ste 500
West Orange, NJ 07052-1023

Phone

(973) 736-1777

NPI assigned

Mar 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Michael Chusid, DMD

Title

Owner

Phone

(973) 736-1777

Specialties & licenses 1

Addresses

Other names 1

• Stonfegate Dental LLC Other name

Locations

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1578199485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 500",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521023",
            "telephone_number": "973-736-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD STE 500",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521023",
            "telephone_number": "973-736-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEGATE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "CHUSID",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-736-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonfegate Dental LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabriella G Stiefbold, OT
• Ilana Stiller
• Kristi Stinson, APN-BC
• Lewis Peter Stolman, MD
• Frada R. Stone, MSW, LCSW
• Ariel Stoner, DPT
• Straight Set Orthodontics LLC
• Stratford Manor Care & Rehabilitation Center LLC
• Stratford Manor Rehabilitation and Care Center LLC
• Stratford Manor Rehabilitation and Care Center LLC

• Dental Clinic/Center in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.