Organization Active NPI

Metuchen Dental Group PA

  • General Practice Dentistry
  • Metuchen, NJ
National Provider Identifier
1720104250
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10971 Issued in NJ
Legal business name
METUCHEN DENTAL GROUP PA
Practice address
26 Bridge St
Metuchen, NJ 08840-2276
Phone
(732) 321-1151
Fax
(732) 548-8115
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stuart A Mozlin, D.M.D
Title
Dentist
Phone
(732) 321-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10971 NJ Primary

Addresses

Primary practice location

26 Bridge St
Metuchen, NJ 08840-2276

Mailing address

26 Bridge St
Metuchen, NJ 08840-2276
Phone (732) 321-1151

National Provider Directory

National Provider Directory

Locations

26 Bridge St
Metuchen, NJ 08840
Phone (732) 321-1151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720104250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402276",
            "telephone_number": "732-321-1151",
            "fax_number": "732-548-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402276",
            "telephone_number": "732-321-1151",
            "fax_number": "732-548-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METUCHEN DENTAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOZLIN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-321-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "10971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • 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.