Nu Dental of Barnegat

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NU DENTAL OF BARNEGAT

Doing business as

Nu Dental

Practice address

770 Lighthouse Dr # 192-B
Barnegat, NJ 08005-2373

Phone

(609) 879-0036

Fax

(609) 879-0036

NPI assigned

Dec 28, 2020

Last updated

Dec 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Admasu N Gizachew, DDS

Title

Ceo

Phone

(609) 879-0036

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nu Dental Doing business as

Locations

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1689261554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RIVERSIDE LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332084",
            "telephone_number": "732-945-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LIGHTHOUSE DR # 192-B",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052373",
            "telephone_number": "609-879-0036",
            "fax_number": "609-879-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU DENTAL OF BARNEGAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "GIZACHEW",
        "authorized_official_first_name": "ADMASU",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-879-0036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440833",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nu Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Jersey Institute for Disabilities Inc
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• Danielle Osborn, APN-C
• Eliza Osborne, MSOTR/L

• General Practice Dentistry in Barnegat, NJ
• Providers in Barnegat, 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 Dec 28, 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.