Vanguard Periodontal & Implant Associates, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

22DI01807200 Issued in NJ

Legal business name

VANGUARD PERIODONTAL & IMPLANT ASSOCIATES, LLC

Practice address

340 E Northfield Rd
Suite 2a
Livingston, NJ 07039-4892

Phone

(973) 992-9090

Fax

(973) 992-8626

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Eric C Weiss, D.M.D.NPI 1730238668

Title

Owner

Phone

(973) 992-8600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Weiss, DMD

  • Periodontics
  • Livingston, NJ
  • NPI 1730238668
  NPD Authorized official

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1780040014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E NORTHFIELD RD",
            "address_2": "SUITE 2A",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394892",
            "telephone_number": "973-992-8600",
            "fax_number": "973-992-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E NORTHFIELD RD",
            "address_2": "SUITE 2A",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394892",
            "telephone_number": "973-992-9090",
            "fax_number": "973-992-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD PERIODONTAL & IMPLANT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-992-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI01807200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Marie Vaccaro, LCSW
• Radhika Vala
• Erica Valeri
• Valhalla Wellness LLC
• Michael Vallee, D.O.
• Kamtorn Vangvanichyakorn, MD
• Vani Maddali MD LLC
• Felisa V. Vanliew
• Joanne R Vannest, PH.D.
• Karen Rae Vanvarick-McGuire, NP

• Periodontics in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.