Quantum Dental Group LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02125200 Issued in NJ

Legal business name

QUANTUM DENTAL GROUP LLC

Practice address

421 59TH St
West New York, NJ 07093-2107

Phone

(201) 254-0322

Fax

(201) 254-0326

NPI assigned

Jun 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Leon Greenberg, DDS

Title

Member

Phone

(201) 254-0322

Specialties & licenses 1

Addresses

Tax ID family

Quantum Dental Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Quantum Dental Group LLC

  • General Practice Dentistry
  • West New York, NJ
  • NPI 1891169470
  NPD tax ID

Locations

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1760777585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 59TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932107",
            "telephone_number": "201-254-0322",
            "fax_number": "201-254-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 59TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932107",
            "telephone_number": "201-254-0322",
            "fax_number": "201-254-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-254-0322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02125200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Datus Puryear
• Quantum Dental Group LLC
• Raffaele Gibilisco,MD,PA
• Jayashree Ramakrishnan, D.D.S.
• Luz Selenia Ramos, APRN-C
• Rey Fernando Pedraza Ramos, M.D.

• Dentist in West New York, NJ
• Providers in West New York, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.