Cedarknollsdentalgroupllc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CEDARKNOLLSDENTALGROUPLLC

Practice address

104 Ridgedale Ave
Cedar Knolls, NJ 07927-1632

Phone

(973) 993-1979

Fax

(973) 984-6237

NPI assigned

Jan 11, 2023

Last updated

Jan 11, 2023By 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. Carmine John Galdieri III, DMDNPI 1225258650

Title

Owner/Dentist

Phone

(973) 787-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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.

• Carmine John Galdieri III, D.M.D.

  • General Practice Dentistry
  • Cedar Knolls, NJ
  • NPI 1225258650
  NPD Authorized official

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1700590064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271632",
            "telephone_number": "973-993-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271632",
            "telephone_number": "973-993-1979",
            "fax_number": "973-984-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARKNOLLSDENTALGROUPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "GALDIERI",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "973-787-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE",
            "identifier": "1225258650",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ckdentalgroup@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office e mail",
            "address_1": "104 Ridgedale Ave",
            "city": "Cedar Knolls",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079271632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dylan Jagger Camp, PT, DPT
• Frank Mark Capella, D.C.
• Mary Elizabeth Carroll, PT DPT
• Yazmin Casano
• Sarah Caughy
• Jennifer Cela, RN
• Andrew Cenophat
• Center for Enhancing Abilities
• Centers Lab NJ LLC (MedLabs Diagnostics)
• Lindsay H. Chambers, DPT

• Dental Clinic/Center in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.