NPIMap

Organization Active NPI

Pleasant Valley Family Dentistry PA

  • Dentist
  • Mount Laurel, NJ
National Provider Identifier
1619354909
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01730900 Issued in NJ
Legal business name
PLEASANT VALLEY FAMILY DENTISTRY PA
Practice address
301 Fellowship Rd
Mt Laurel, NJ 08054
Phone
(856) 222-1100
NPI assigned
May 6, 2015
Last updated
May 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Amina Sadiq, D.D.S.
Title
Dentist
Phone
(856) 222-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22DI01730900 NJ Primary

Addresses

Primary practice location

301 Fellowship Rd
Mt Laurel, NJ 08054

Mailing address

301 Fellowship Rd
Mount Laurel, NJ 08054-1214
Phone (856) 222-1100

National Provider Directory

National Provider Directory

Locations

301 Fellowship Rd
Mount Laurel, NJ 08054
Phone (856) 222-1100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1619354909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FELLOWSHIP RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541214",
            "telephone_number": "856-222-1100",
            "fax_number": "856-222-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FELLOWSHIP RD",
            "city": "MT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-222-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "SADIQ",
        "authorized_official_first_name": "AMINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "856-222-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01730900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.