NPIMap

Organization Active NPI

Azdra LLC

  • Dental Clinic/Center
  • Mays Landing, NJ
National Provider Identifier
1750104360
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AZDRA LLC
Practice address
900 Route 50
Mays Landing, NJ 08330-2155
Phone
(609) 625-0300
Fax
(609) 625-5042
NPI assigned
Nov 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Authorized official

Name
Dr. Arsen Gazaryan, DMDNPI 1497121651
Title
Onwer
Phone
(609) 625-0300

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

900 Route 50
Mays Landing, NJ 08330-2155

Mailing address

900 Route 50
Mays Landing, NJ 08330-2155
Phone (609) 625-0300

Other names 1

  • Heritage Dental Doing business as

National Provider Directory

National Provider Directory

Locations

900 Route 50
Mays Landing, NJ 08330
Phone (609) 625-0300

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": "1730505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1750104360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 50",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302155",
            "telephone_number": "609-625-0300",
            "fax_number": "609-625-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 50",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302155",
            "telephone_number": "609-625-0300",
            "fax_number": "609-625-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZDRA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "GAZARYAN",
        "authorized_official_first_name": "ARSEN",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "609-625-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mays Landing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.