NPIMap

Organization Active NPI

NJ Dental Partners One LLC

  • General Practice Dentistry
  • Freehold, NJ
National Provider Identifier
1730679390
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NJ DENTAL PARTNERS ONE LLC
Practice address
680 W Main St
Freehold, NJ 07728-2527
Phone
(732) 462-8770
NPI assigned
May 18, 2018
Last updated
May 18, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ROBERT M GORDON & JAY A MILLERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Keith Dunoff
Title
Owner
Phone
(732) 750-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

680 W Main St
Freehold, NJ 07728-2527

Mailing address

1030 Saint Georges Ave
Avenel, NJ 07001-1390

National Provider Directory

National Provider Directory
Tax ID family
Old Bridge Dental Arts28 organizations share this tax ID, including this one
Part of
Old Bridge Dental Arts

Other organizations with this tax ID 27

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

View all 27

Locations

680 W Main St
Freehold, NJ 07728
Phone (732) 462-8770

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1730679390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282527",
            "telephone_number": "732-462-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ DENTAL PARTNERS ONE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT M GORDON & JAY A MILLER",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "DUNOFF",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-750-0707"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.