American Family Dentistry PC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02406100 Issued in NJ

Legal business name

AMERICAN FAMILY DENTISTRY PC

Practice address

3562 State Route 27
Suite 115
Kendall Park, NJ 08824-1062

Phone

(732) 444-4932

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kuma Kalaria

Title

Dentist / Owner

Phone

(732) 444-4932

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1730626532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3562 STATE ROUTE 27",
            "address_2": "SUITE 115",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241062",
            "telephone_number": "732-444-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 STATE ROUTE 27",
            "address_2": "SUITE 115",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241062",
            "telephone_number": "732-444-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "KALARIA",
        "authorized_official_first_name": "KUMA",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "732-444-4932",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02406100",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02579600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PROVIDER",
            "identifier": "1124424593",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PROVIDER",
            "identifier": "1750616389",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Kendall Park, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.