GD NJ Elite LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GD NJ ELITE LLC

Doing business as

Elite Dental Associates

Practice address

1 Bethany Rd Ste 54
Hazlet, NJ 07730-1667

Phone

(732) 264-6202

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Elite Dental Associates Doing business as

Locations

Practitioners 1

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.

• Joseph A. Terranova, D.D.S.

  • General Practice Dentistry
  • Hazlet, NJ
  • NPI 1245342799
  NPD (past)

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1619729589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 54",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301667",
            "telephone_number": "732-264-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 54",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301667",
            "telephone_number": "732-264-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GD NJ ELITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alphonso Michael Gaita
• Alexandra Garcia
• Michael Y Garcia, LSW
• Garden State Foot & Ankle Center, LLC
• Ruth N. Gautier, BA,LCADC
• Liann Gelber, LSW
• Deatte Gettinger
• Allyssa Simone Ghans, LSW
• Christopher James Giordano
• Glenwood Premier Dental

• General Practice Dentistry in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.