Organization Active NPI

Children's Dentistry of Passaic LLC

  • Dental Clinic/Center
  • Passaic, NJ
National Provider Identifier
1780990820
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DI020195 Issued in NJ
Legal business name
CHILDREN'S DENTISTRY OF PASSAIC LLC
Practice address
124 Gregory Ave
Suite 303
Passaic, NJ 07055-4856
Phone
(973) 859-0538
Fax
(862) 249-2949
NPI assigned
Aug 26, 2010
Last updated
Aug 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Padma JoshiNPI 1548300312
Title
Dentist Owner
Phone
(973) 859-0538

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
Dental Clinic/Center 261QD0000X DI020195 NJ Primary

Addresses

Primary practice location

124 Gregory Ave
Suite 303
Passaic, NJ 07055-4856

Mailing address

124 Gregory Ave
Suite 303
Passaic, NJ 07055-4856
Phone (973) 859-0538

National Provider Directory

National Provider Directory

Locations

124 Gregory Ave
Ste 303
Passaic, NJ 07055
Phone (973) 859-0538

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1780990820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GREGORY AVE",
            "address_2": "SUITE 303",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554856",
            "telephone_number": "973-859-0538",
            "fax_number": "862-249-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GREGORY AVE",
            "address_2": "SUITE 303",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554856",
            "telephone_number": "973-859-0538",
            "fax_number": "862-249-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF PASSAIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "PADMA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "973-859-0538"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI020195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.