Organization Active NPI

Troy Meadows Dental PC

  • General Practice Dentistry
  • Lake Hiawatha, NJ
National Provider Identifier
1790338952
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TROY MEADOWS DENTAL PC
Practice address
488 N Beverwyck Rd Ste B
Lake Hiawatha, NJ 07034-2511
Phone
(973) 860-9724
Fax
(973) 860-9774
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Dr. Aditya Prashad Gupta, DDSNPI 1548628993
Title
Owner/President
Phone
(973) 860-9724

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

488 N Beverwyck Rd Ste B
Lake Hiawatha, NJ 07034-2511

Mailing address

488 N Beverwyck Rd Ste B
Lake Hiawatha, NJ 07034-2511
Phone (973) 860-9724

Other names 1

  • Troy Meadows Dental Doing business as

National Provider Directory

National Provider Directory

Locations

488 N Beverwyck Rd
Ste B
Lake Hiawatha, NJ 07034
Phone (973) 860-9724

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1790338952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 N BEVERWYCK RD STE B",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342511",
            "telephone_number": "973-860-9724",
            "fax_number": "973-860-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 N BEVERWYCK RD STE B",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342511",
            "telephone_number": "973-860-9724",
            "fax_number": "973-860-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY MEADOWS DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ADITYA",
        "authorized_official_middle_name": "PRASHAD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "973-860-9724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troy Meadows Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Troy Meadows Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Hiawatha, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.