My Dentist Fair Lawn PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MY DENTIST FAIR LAWN PA

Practice address

5-21 Saddle River Rd
Fair Lawn, NJ 07410-5609

Phone

(201) 791-2400

Fax

(201) 791-1123

NPI assigned

Jul 12, 2022

Organization subpart

No

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

Authorized official

Name

Isaac Kleinman, DDSNPI 1912535246

Title

President

Phone

(201) 791-2400

Specialties & licenses 1

Addresses

Practitioners 1

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

• Isaac Kleinman, DDS

  • General Practice Dentistry
  • Fair Lawn, NJ
  • NPI 1912535246
  NPD Authorized official

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1669106019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5-21 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105609",
            "telephone_number": "201-791-2400",
            "fax_number": "201-791-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-21 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105609",
            "telephone_number": "201-791-2400",
            "fax_number": "201-791-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTIST FAIR LAWN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "KLEINMAN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-791-2400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Mulroy, PT, DPT
• Michael Patrick Mulryan, PT
• Samantha Camille Murphy, CADC
• Fonderre Lionel Musongong, FNP
• George Mwangi
• Maria Jidriska Myers
• Wendy Gayle Nach, D.P.M
• Sarah Jane Nadler, LCSW
• Sarah Fatima Naibzada
• Mahshid Namazi

• General Practice Dentistry in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.