NPIMap

Organization Active NPI

Children's Dental Care

  • General Practice Dentistry
  • Union City, NJ
National Provider Identifier
1649719675
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10508200 Issued in NJ
Legal business name
CHILDREN'S DENTAL CARE
Doing business as
Children's Dental Care
Practice address
3700 Kennedy Blvd
Union City, NJ 07087-2993
Phone
(646) 915-4003
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Dr. Poonam Gat, D.D.S.NPI 1497002687
Title
Dentist
Phone
(646) 915-4003

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D10508200 NJ Primary

Addresses

Primary practice location

3700 Kennedy Blvd
Union City, NJ 07087-2993

Mailing address

3700 Kennedy Blvd
Union City, NJ 07087-2993
Phone (201) 866-3737

Other identifiers 1

IdentifierTypeStateIssuer
0439568MedicaidNJ

Other names 1

  • Children's Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

3700 Kennedy Blvd
Ste 1
Union City, NJ 07087

Practitioners & affiliated clinicians

Practitioners 5

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": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1649719675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872993",
            "telephone_number": "201-866-3737",
            "fax_number": "201-866-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 KENNEDY BLVD",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872993",
            "telephone_number": "646-915-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "GAT",
        "authorized_official_first_name": "POONAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "646-915-4003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "D10508200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0439568",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.