NJ Dentistry for Children, P.a.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10202 Issued in NJ

Legal business name

NJ DENTISTRY FOR CHILDREN, P.A.

Doing business as

Dentistry For Children, P.A.

Practice address

870 River Ave
Lakewood, NJ 08701-5220

Phone

(732) 240-3355

NPI assigned

Oct 9, 2008

Last updated

Feb 21, 2020By 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

Van Phi Le

Title

Credentialing Manager

Phone

(484) 787-2946

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dentistry For Children, P.A. Doing business as

Tax ID family

Ocean Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ocean Family Dental

  • Pediatric Dentistry
  • Toms River, NJ
  • NPI 1780854943
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• NJ DFC Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakewood, NJ
  • NPI 1942977491
  NPPES parent name

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.

• Bridget E Henn, D.D.S

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jackson, NJ
  • NPI 1689938615
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1730330663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WILLOWBROOK LN STE 220",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825697",
            "telephone_number": "610-500-2042",
            "fax_number": "610-884-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015220",
            "telephone_number": "732-240-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 S Hope Chapel Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085275000",
            "country_code": "US",
            "telephone_number": "732-813-3730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1256 Indian Head Road Unit 16-18",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087550875",
            "country_code": "US",
            "telephone_number": "732-240-2244",
            "fax_number": "732-240-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5315 US Highway 9",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077313753",
            "country_code": "US",
            "telephone_number": "732-378-9990",
            "fax_number": "732-378-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NJ DENTISTRY FOR CHILDREN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "VAN PHI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "484-787-2946"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "10202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2859009",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3618901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry For Children, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shira Elisheva Nierenberg, CCC SLP
• Yehudis Nierenberg, OTR/L
• David Nissen, NC
• Maria Nitka
• NJ Cataract and Laser Institute
• NJ Developmental Disability Services
• NJ Developmental Disability Services
• NJ DFC Orthodontics, LLC
• NJ Eye Consultants
• NJ Golden Home Care

• Pediatric Dentistry in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.