Active NPI
Family Dental Association of Brookdale, LLC
- General Practice Dentistry
- Bloomfield, NJ
National Provider Identifier
1639132434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16375
- Legal business name
- FAMILY DENTAL ASSOCIATION OF BROOKDALE, LLC
- Practice address
- 988 Broad St
Bloomfield, NJ 07003-2806 - Phone
- (973) 338-6667
- NPI assigned
- Apr 11, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan S. Kaplan, DDS
- Title
- Owner
- Phone
- (973) 338-6667
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16375 | NJ | Primary |
Addresses
Primary practice location
988 Broad St
Bloomfield, NJ 07003-2806
Mailing address
988 Broad St
Bloomfield, NJ 07003-2806
Phone (973) 338-6667
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Bloomfield, NJ
- NPI 1023072428
-
- Dentist
- Bloomfield, NJ
- NPI 1578670246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1639132434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032806",
"telephone_number": "973-338-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032806",
"telephone_number": "973-338-6667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY DENTAL ASSOCIATION OF BROOKDALE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAPLAN",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-338-6667",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "16375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, 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.