Organization Active NPI

Pompton Family Dental Services, PA

  • General Practice Dentistry
  • Pompton Plains, NJ
National Provider Identifier
1639355399
Registry record updated Jan 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI00984800 Issued in NJ
Legal business name
POMPTON FAMILY DENTAL SERVICES, PA
Practice address
500 Route 23
Ste. 15
Pompton Plains, NJ 07444-1853
Phone
(973) 831-9100
Fax
(973) 831-6047
NPI assigned
Jan 12, 2008
Last updated
Jan 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2008

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

Authorized official

Name
Dr. Stephen K Fitzsimmons, D. M. D.NPI 1689015018
Title
President
Phone
(973) 831-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI00984800 NJ Primary

Addresses

Primary practice location

500 Route 23
Ste. 15
Pompton Plains, NJ 07444-1853

Mailing address

500 Route 23
Ste. 15
Pompton Plains, NJ 07444-1853
Phone (973) 831-9100

National Provider Directory

National Provider Directory

Locations

500 Route 23
Ste 15
Pompton Plains, NJ 07444
Phone (973) 831-9100

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": "1200096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200096000000",
    "number": "1639355399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROUTE 23",
            "address_2": "STE. 15",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441853",
            "telephone_number": "973-831-9100",
            "fax_number": "973-831-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROUTE 23",
            "address_2": "STE. 15",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441853",
            "telephone_number": "973-831-9100",
            "fax_number": "973-831-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPTON FAMILY DENTAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-01-12",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-831-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. M. D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI00984800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; 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.