NPIMap

Organization Active NPI

Morris County Dental Associates, LLC

  • General Practice Dentistry
  • Succasunna, NJ
National Provider Identifier
1740573039
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI019490 Issued in NJ
Legal business name
MORRIS COUNTY DENTAL ASSOCIATES, LLC
Practice address
15 Commerce Blvd
Suite 201
Succasunna, NJ 07876-1343
Phone
(973) 328-1225
Fax
(973) 328-7650
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Authorized official

Name
Dr. Ira Goldberg, DDSNPI 1992728786
Title
President
Phone
(973) 328-1225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI019490 NJ Primary

Addresses

Primary practice location

15 Commerce Blvd
Suite 201
Succasunna, NJ 07876-1343

Mailing address

15 Commerce Blvd
Suite 201
Succasunna, NJ 07876-1343
Phone (973) 328-1225

National Provider Directory

National Provider Directory

Locations

15 Commerce Blvd
Ste 201
Succasunna, NJ 07876
Phone (973) 328-1225

Practitioners & affiliated clinicians

Practitioners 2

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": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1740573039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COMMERCE BLVD",
            "address_2": "SUITE 201",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761343",
            "telephone_number": "973-328-1225",
            "fax_number": "973-328-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COMMERCE BLVD",
            "address_2": "SUITE 201",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761343",
            "telephone_number": "973-328-1225",
            "fax_number": "973-328-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS COUNTY DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-328-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI019490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.