Organization Active NPI

Sparq Dental Perth Amboy Inc

  • Dental Clinic/Center
  • Perth Amboy, NJ
National Provider Identifier
1629840830
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SPARQ DENTAL PERTH AMBOY INC
Practice address
288 State St
Perth Amboy, NJ 08861-4348
Phone
(732) 442-6100
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Adan Hashemi, DMD
Title
Owner
Phone
(516) 851-9419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

288 State St
Perth Amboy, NJ 08861-4348

Mailing address

288 State St
Perth Amboy, NJ 08861-4348
Phone (732) 442-6100

National Provider Directory

National Provider Directory

Locations

288 State St
Perth Amboy, NJ 08861
Phone (732) 442-6100

Practitioners & affiliated clinicians

Practitioners 2

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": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1629840830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614348",
            "telephone_number": "732-442-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614348",
            "telephone_number": "732-442-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARQ DENTAL PERTH AMBOY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "HASHEMI",
        "authorized_official_first_name": "ADAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-851-9419",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.