Garden State Dental P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GARDEN STATE DENTAL P.C.

Practice address

385 Prospect Ave Ste 304
Hackensack, NJ 07601-2570

Phone

(201) 298-8000

Fax

(719) 823-6996

NPI assigned

Jul 10, 2019

Organization subpart

No

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

Authorized official

Name

Victoria Kushensky, DDS

Title

Owner / Ao

Phone

(201) 298-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1730731647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 PROSPECT AVE STE 304",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012570",
            "telephone_number": "201-298-8000",
            "fax_number": "719-823-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 PROSPECT AVE STE 304",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012570",
            "telephone_number": "201-298-8000",
            "fax_number": "719-823-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "KUSHENSKY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER / AO",
        "authorized_official_telephone_number": "201-298-8000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Alejandro Garcia, COTA/L
• Rayda Maria Garcia, AGNP-C
• Stephanie Garcia
• Stephanie M Garcia, AU.D.
• Tatiana Garcia, LPC
• Garden State Medical Transportation, Inc
• Garden State Orthocare LLC
• Garden State Women'S Center
• Cesar Valente Garduque Jr., OTR
• Alli Madison Garfield, CRNA

• Dentist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.