Shrewsbury Orthodontics PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI01859000 Issued in NJ

Legal business name

SHREWSBURY ORTHODONTICS PA

Practice address

167 Avenue at the Commons
Ste 16
Shrewsbury, NJ 07702

Phone

(732) 544-0579

Fax

(732) 544-9022

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Peter J Magoulas, DDS

Title

Owner President

Phone

(732) 544-0579

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699885707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "07746",
            "telephone_number": "732-544-0579",
            "fax_number": "732-544-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 AVENUE AT THE COMMONS",
            "address_2": "STE 16",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "07702",
            "telephone_number": "732-544-0579",
            "fax_number": "732-544-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREWSBURY ORTHODONTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGOULAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "732-544-0579",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI01859000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SHP VI Shrewsbury LLC
• Shrewsbury Ambulatory Anesthesia LLC
• Shrewsbury Dental Associates,PA
• Shrewsbury Diagnostic Imaging, LLC
• Shrewsbury Family Dental, LLC
• Shrewsbury Surgery Center, LLC
• Shrewsbury Vascular and General Surgery Associates LLC
• Andrew Silos, OTR/L
• Kayla Singiser
• Kimberly Smagula, MS, OTR/L

• Orthodontics and Dentofacial Orthopedics Dentistry in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.