Organization Active NPI

Madison Dental Associates,PA

  • General Practice Dentistry
  • Lakewood, NJ
National Provider Identifier
1649330945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1017667 Issued in NJ
Legal business name
MADISON DENTAL ASSOCIATES,PA
Practice address
1217 Madison Ave
Lakewood, NJ 08701-1751
Phone
(732) 364-9800
Fax
(732) 901-7007
NPI assigned
Dec 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leor Joseph Lindner, D.M.D.
Title
Owner
Phone
(732) 364-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D1017667 NJ Primary

Addresses

Primary practice location

1217 Madison Ave
Lakewood, NJ 08701-1751

Mailing address

1217 Madison Ave
Lakewood, NJ 08701-1751
Phone (732) 364-9800

National Provider Directory

National Provider Directory

Locations

1217 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-9800

NPI Registry JSON

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649330945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011751",
            "telephone_number": "732-364-9800",
            "fax_number": "732-901-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011751",
            "telephone_number": "732-364-9800",
            "fax_number": "732-901-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON DENTAL ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDNER",
        "authorized_official_first_name": "LEOR",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-364-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "D1017667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, 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.

Verify at the official NPI Registry.