Bay Dental Associates, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BAY DENTAL ASSOCIATES, LLC

Practice address

654 Avenue C Ste 202
Bayonne, NJ 07002-3899

Phone

(201) 436-7777

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Patricia Dibos, DMDNPI 1134378524

Title

Co-Owner

Phone

(201) 436-7777

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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

• Patricia Dibos, D.M.D.

  • Pediatric Dentistry
  • Bayonne, NJ
  • NPI 1134378524
  NPD (past) Authorized official
• Eunjung Shim, DMD, MDS

  • Periodontics
  • Bayonne, NJ
  • NPI 1104930056
  NPD (past)
• Sheila Faradjewa, DDS

  • Dentist
  • New York, NY
  • NPI 1326774639

  Multi-Specialty

  NPD (past)
• Hailey Kyung Yeon Park, DDS

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1144854571
  NPD (past)

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1801338140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 AVENUE C STE 202",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023899",
            "telephone_number": "201-436-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 AVENUE C STE 202",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023899",
            "telephone_number": "201-436-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "DIBOS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "201-436-7777",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry J. Gallanter, DPM PA (Bayonne Podiatry Group)
• Marina Bartellino, RPH
• Nauman Basit, M.D
• Maria Batista
• Tiffany Battagliola, M.D.
• Michael Angelo Aton Bayawa, AGNP-C
• Bayonne Advanced Medical Practice
• Bayonne Anesthesia Associates, LLC
• Bayonne Board of Education
• Bayonne Cardiology Group, PA

• Pediatric Dentistry in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.