Grace Dental Union City, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

22DI02490600 Issued in NJ

Legal business name

GRACE DENTAL UNION CITY, LLC

Practice address

3133 Central Ave Ste 204
Union City, NJ 07087-2447

Phone

(201) 330-3333

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lee, DDS

Title

Owner

Phone

(917) 686-5746

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Guillermo Rafael Castillo, DMD

  • General Practice Dentistry
  • Union City, NJ
  • NPI 1457361412
  NPD (past)
• Zenaida E Mulkay-Castillo, DMD

  • General Practice Dentistry
  • North Bergen, NJ
  • NPI 1184634115
  NPD (past)
• Shrey Shah, DDS

  • Dentist
  • Union City, NJ
  • NPI 1992452288
  NPD (past)

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1609389816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 CENTRAL AVE STE 204",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 CENTRAL AVE STE 204",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872447",
            "telephone_number": "201-330-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTAL UNION CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-686-5746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "22DI02490600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan A Gonzalez, MD
• Rosa Maria Gonzalez, PHARM.D.
• Jonathan Gooblar, PH.D.
• Denise E Goodman, NP-C
• Robert Goodman, RN
• Graces Counseling Services
• Jeffrey Graciano, PHARM.D
• Grand Integrative Pain Center Inc
• Sreeram Grandhi, MD
• Greater Essex Counseling Services LLC

• Clinic/Center in Union City, NJ
• Providers in Union City, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.