NPIMap

Organization Active NPI

Wayne Dental Associates LLC

  • Dentist
  • Wayne, NJ
National Provider Identifier
1801188982
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI013953 Issued in NJ
Legal business name
WAYNE DENTAL ASSOCIATES LLC
Practice address
1680 Route 23
Suite 100
Wayne, NJ 07470
Phone
(973) 694-2445
Fax
(973) 684-5580
NPI assigned
May 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
David H. Samer, DMD
Title
Dental
Phone
(973) 694-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DI013953 NJ Primary

Addresses

Primary practice location

1680 Route 23
Suite 100
Wayne, NJ 07470

Mailing address

1680 Route 23
Suite 100
Wayne, NJ 07470
Phone (973) 694-2445

National Provider Directory

National Provider Directory

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": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1801188982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23",
            "address_2": "SUITE 100",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-694-2445",
            "fax_number": "973-684-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23",
            "address_2": "SUITE 100",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-694-2445",
            "fax_number": "973-684-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "SAMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DENTAL",
        "authorized_official_telephone_number": "973-694-2445",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI013953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.