Dental Arts of Woodbridge LLP

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02222103 Issued in NJ

Legal business name

DENTAL ARTS OF WOODBRIDGE LLP

Practice address

871 St Georges Ave
Woodbridge, NJ 07095-2514

Phone

(732) 634-5200

Fax

(732) 634-1214

NPI assigned

Aug 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Candell, DDS

Title

Owner Partner

Phone

(732) 634-5200

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Reza Lankaranian, D.M.D.

  • Dentist
  • Woodbridge, NJ
  • NPI 1144438664
  NPD (past)
• Lexis Phillips, DDS

  • Dentist
  • Woodbridge, NJ
  • NPI 1831838085
  NPD (past)
• Andleeb Shabahat, DDS

  • General Practice Dentistry
  • Lodi, NJ
  • NPI 1659609865
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760493142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 ST GEORGES AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952514",
            "telephone_number": "732-634-5200",
            "fax_number": "732-634-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 ST GEORGES AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952514",
            "telephone_number": "732-634-5200",
            "fax_number": "732-634-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ARTS OF WOODBRIDGE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANDELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "732-634-5200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02222103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056341",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTACARE FLAGSHIP",
            "identifier": "896",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DMO",
            "identifier": "19504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlo De Castro, PT
• Glenn Twain Manansala Delrosario
• Delta-T Group North Jersey, Inc.
• Eugene Demarzo, DPM
• Bettina Coley Denson
• Sujal Desai, P.T.
• Catherine A Devane, PT
• Anup Kumar Dhage, PT, BS,MS
• Ingrid Diaz-Balart
• Parul Dixit

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.