Penns Grove Family Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PENNS GROVE FAMILY DENTAL LLC

Practice address

31 W Main St
Penns Grove, NJ 08069-1348

Phone

(856) 299-1096

NPI assigned

Apr 1, 2014

Last updated

Apr 1, 2014By 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

Mr. Sylvan Garfunkel

Title

Office Manager

Phone

(856) 299-1096

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Judith Anne Kimmelman, D.M.D.

  • General Practice Dentistry
  • Penns Grove, NJ
  • NPI 1396889523
  NPD (past)

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1760800346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W MAIN ST",
            "city": "PENNS GROVE",
            "state": "NJ",
            "postal_code": "080691348",
            "telephone_number": "856-299-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W MAIN ST",
            "city": "PENNS GROVE",
            "state": "NJ",
            "postal_code": "080691348",
            "telephone_number": "856-299-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNS GROVE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "GARFUNKEL",
        "authorized_official_first_name": "SYLVAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-299-1096",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie McCutcheon, BCBA, LBS, LBA
• My Team ABA NJ LLC
• Eric Myers
• Caroline Neblett
• Penns Grove - Carneys Point Reg SCH District
• Niya K Pitts, L.P.N.
• Laura Powell
• Rite Aid of New Jersey Inc (Rite Aid Pharmacy 01318)
• Salem Adult Day Care, LLC
• Salem County Board of Social Services

• General Practice Dentistry in Penns Grove, NJ
• Providers in Penns Grove, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.