NPIMap

Organization Active NPI

Nusmilefamilydentistry,LLC

  • Dentist
  • Freehold, NJ
National Provider Identifier
1699012781
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NUSMILEFAMILYDENTISTRY,LLC
Practice address
222 South St
Freehold, NJ 07728-2619
Phone
(732) 462-0050
Fax
(732) 308-0757
NPI assigned
Jan 9, 2013
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Sumana MuddanaNPI 1629140025
Title
Dentist
Phone
(732) 462-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

222 South St
Freehold, NJ 07728-2619

Mailing address

222 South St
Freehold, NJ 07728-2619
Phone (732) 462-0050

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1699012781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SOUTH ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282619",
            "telephone_number": "732-462-0050",
            "fax_number": "732-308-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTH ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282619",
            "telephone_number": "732-462-0050",
            "fax_number": "732-308-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSMILEFAMILYDENTISTRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "MUDDANA",
        "authorized_official_first_name": "SUMANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-462-0050"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.