Organization Active NPI

The Star Dental Group, LLC

  • General Practice Dentistry
  • Warren, NJ
National Provider Identifier
1619087327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9705 Issued in NJ
Legal business name
THE STAR DENTAL GROUP, LLC
Practice address
161 Washington Valley Rd
Suite 202
Warren, NJ 07059-7176
Phone
(732) 563-0066
Fax
(732) 563-0266
NPI assigned
Aug 30, 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. Steven L Greenbaum, DMDNPI 1033123229
Title
Sole Member
Phone
(732) 563-0066

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9705 NJ Primary

Addresses

Primary practice location

161 Washington Valley Rd
Suite 202
Warren, NJ 07059-7176

Mailing address

161 Washington Valley Rd
Suite 202
Warren, NJ 07059-7176
Phone (732) 563-0066

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619087327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON VALLEY RD",
            "address_2": "SUITE 202",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070597176",
            "telephone_number": "732-563-0066",
            "fax_number": "732-563-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON VALLEY RD",
            "address_2": "SUITE 202",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070597176",
            "telephone_number": "732-563-0066",
            "fax_number": "732-563-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE STAR DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "732-563-0066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "9705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, 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.