Merchant Street Dental LLC

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

MERCHANT STREET DENTAL LLC

Practice address

124 W Merchant St
Audubon, NJ 08106-1424

Phone

(908) 930-2848

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ronen Shor

Title

Owner

Phone

(908) 930-2848

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1801630249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W MERCHANT ST STE A",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W MERCHANT ST",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061424",
            "telephone_number": "908-930-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCHANT STREET DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "SHOR",
        "authorized_official_first_name": "RONEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-930-2848",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy T Macgregor, MA, ATR-BC, LPC
• Sandra L Mayer, RN
• MDF Audubon LLC
• Angela Catherine Meluso, PH.D., BCBA-D
• Kara Menard, PHARMACIST
• Michelle Richardson, LCSW LLC
• Greg Mitman
• Armando Antonio Montiel, MD
• Neuropsych Associates LLC
• Rachel Oliver

• Meals Provider in Audubon, NJ
• Providers in Audubon, NJ by specialty
• Meals Provider in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.