NPIMap

Organization Active NPI

Rahway Dental Associates, LLC

  • Dental Clinic/Center
  • Rahway, NJ
National Provider Identifier
1669045316
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RAHWAY DENTAL ASSOCIATES, LLC
Practice address
1361 Saint Georges Ave
Rahway, NJ 07065-2760
Phone
(732) 381-8968
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
R Patricia Hower
Title
Credentialing Specialist
Phone
(215) 798-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1361 Saint Georges Ave
Rahway, NJ 07065-2760

Mailing address

1361 Saint Georges Ave
Rahway, NJ 07065-2760
Phone (215) 798-4027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1669045316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 SAINT GEORGES AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652760",
            "telephone_number": "215-798-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 SAINT GEORGES AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652760",
            "telephone_number": "732-381-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHWAY DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "HOWER",
        "authorized_official_first_name": "R PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "215-798-4027"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.