Foundation Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

02309100 Issued in NJ

Legal business name

FOUNDATION ENDODONTICS

Practice address

870 Palisade Ave
Suite #303
Teaneck, NJ 07666-3419

Phone

(201) 836-8000

Fax

(201) 591-7981

NPI assigned

Nov 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jay Lewis, D.M.D.

Title

President

Phone

(201) 836-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257033600000",
    "number": "1659607299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "address_2": "SUITE #303",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-836-8000",
            "fax_number": "201-591-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "address_2": "SUITE #303",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-836-8000",
            "fax_number": "201-591-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-01",
        "last_updated": "2009-11-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-836-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "02309100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deborah L Fox, L.C.S.W.
• Alina Fradlis, MD
• Michelle Francisco

• All providers in Teaneck, NJ
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2009; 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.