Pediatric Dental Arts

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02177300 Issued in NJ

Legal business name

PEDIATRIC DENTAL ARTS

Practice address

1 Robertson Dr
Suite 12
Bedminster, NJ 07921-1716

Phone

(908) 470-1700

NPI assigned

Sep 22, 2005

Last updated

Aug 22, 2020By 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

Dr. Melissa Burruezo, D.M.DNPI 1700091550

Title

Owner/Dentist

Phone

(908) 470-1700

Specialties & licenses 1

Addresses

Locations

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.

• Melissa Burruezo, D.M.D.

  • Pediatric Dentistry
  • Bedminster, NJ
  • NPI 1700091550
  NPD (past) Authorized official
• Tannaz Malekian

  • Pediatric Dentistry
  • Bedminster, NJ
  • NPI 1104407410
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639165913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROBERTSON DR",
            "address_2": "SUITE 12",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079211716",
            "telephone_number": "908-470-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERTSON DR",
            "address_2": "SUITE 12",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079211716",
            "telephone_number": "908-470-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRUEZO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "908-470-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02177300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Josephine Padovano, RD, CDN
• James M Parolie, MD
• Grace Pascarella, RDN
• Priti P Patel, M.D
• Vinal Patel, OD
• Pelvic Stability PT
• Pharmcorp, LLC (Far Hills Pharmacy)
• Pharmcorp, LLC (Far Hills Pharmacy (LTC))
• Physical Therapy Center of Excellence, LLC (Ptcoe)
• Paul R Pirigyi

• Pediatric Dentistry in Bedminster, NJ
• Providers in Bedminster, NJ by specialty
• Pediatric Dentistry in New Jersey

• 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.