NPIMap

Organization Active NPI

Saddle Brook Dental Associate

  • Dentist
  • Saddle Brook, NJ
National Provider Identifier
1790112787
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI 21284 Issued in NJ
Legal business name
SADDLE BROOK DENTAL ASSOCIATE
Practice address
220 5TH St
Saddle Brook, NJ 07663-6216
Phone
(973) 478-1616
NPI assigned
Oct 4, 2013
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Dr. Khaled Eldin, DDS
Title
President
Phone
(973) 478-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI 21284 NJ Primary

Addresses

Primary practice location

220 5TH St
Saddle Brook, NJ 07663-6216

Mailing address

220 5TH St
Saddle Brook, NJ 07663-6216
Phone (973) 478-1616

National Provider Directory

National Provider Directory

Locations

220 N 5th St
Saddle Brook, NJ 07663
Phone (973) 478-1616

Practitioners & affiliated clinicians

Practitioners 5

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": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1790112787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636216",
            "telephone_number": "973-478-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 5TH ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076636216",
            "telephone_number": "973-478-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLE BROOK DENTAL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "ELDIN",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-478-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI 21284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.