Active NPI
Eastern Dental of Woodbury Heights, LLC
- General Practice Dentistry
- Woodbury Heights, NJ
National Provider Identifier
1699051565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20509
- Legal business name
- EASTERN DENTAL OF WOODBURY HEIGHTS, LLC
- Practice address
- 1006 B Mantua Pike
Suite 1
Woodbury Heights, NJ 08097 - Phone
- (856) 845-7775
- Fax
- (856) 845-7777
- NPI assigned
- Oct 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aaron Feiler, D.D.S
- Title
- Executive Dental Director
- Phone
- (856) 845-7775
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20509 | NJ | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10967 | NJ |
Addresses
Primary practice location
1006 B Mantua Pike
Suite 1
Woodbury Heights, NJ 08097
Mailing address
1006B Mantua Pike
Suite 1
Woodbury Heights, NJ 08097
Phone (856) 845-7775
National Provider Directory
National Provider DirectoryLocations
1006 Mantua Pike
Ste 1
Woodbury Heights, NJ 08097
Phone (856) 345-9900
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.
-
- General Practice Dentistry
- Woodbury Heights, NJ
- NPI 1346393576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319414400000",
"number": "1699051565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006B MANTUA PIKE",
"address_2": "SUITE 1",
"city": "WOODBURY HEIGHTS",
"state": "NJ",
"postal_code": "08097",
"telephone_number": "856-845-7775",
"fax_number": "856-845-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 B MANTUA PIKE",
"address_2": "SUITE 1",
"city": "WOODBURY HEIGHTS",
"state": "NJ",
"postal_code": "08097",
"telephone_number": "856-845-7775",
"fax_number": "856-845-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN DENTAL OF WOODBURY HEIGHTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-24",
"last_updated": "2011-10-24",
"status": "A",
"authorized_official_last_name": "FEILER",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "EXECUTIVE DENTAL DIRECTOR",
"authorized_official_telephone_number": "856-845-7775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "20509",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "10967",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.