Organization Active NPI

Rec Dental PC

Doing business as Associated Dental of Elizabeth

  • Dentist
  • Elizabeth, NJ
National Provider Identifier
1780787887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI20223 Issued in NJ
Legal business name
REC DENTAL PC
Doing business as
Associated Dental of Elizabeth
Practice address
444 Morris Ave
Elizabeth, NJ 07208
Phone
(908) 353-6655
Fax
(908) 353-5566
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rony ElyahouzadehNPI 1447523725
Title
President
Phone
(908) 353-6655

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DI20223 NJ Primary

Addresses

Primary practice location

444 Morris Ave
Elizabeth, NJ 07208

Mailing address

444 Morris Ave
Elizabeth, NJ 07208
Phone (908) 353-6655

Other names 1

  • Associated Dental of Elizabeth Doing business as

National Provider Directory

National Provider Directory

Locations

444 Morris Ave
Elizabeth, NJ 07208
Phone (908) 353-6655

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780787887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07208",
            "telephone_number": "908-353-6655",
            "fax_number": "908-353-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MORRIS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07208",
            "telephone_number": "908-353-6655",
            "fax_number": "908-353-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REC DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELYAHOUZADEH",
        "authorized_official_first_name": "RONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-353-6655",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI20223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Dental of Elizabeth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • 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.