NPIMap

Organization Active NPI

West Broadway Dental PA

  • Dentist
  • Paterson, NJ
National Provider Identifier
1801929591
Registry record updated Feb 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEST BROADWAY DENTAL PA
Practice address
1 West Broadway
Paterson, NJ 07505
Phone
(973) 684-3803
Fax
(973) 742-8223
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2012

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

Authorized official

Name
Dr. Stephen Sherman, DDSNPI 1659414910
Title
Owner President
Phone
(973) 684-3803

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1 West Broadway
Paterson, NJ 07505

Mailing address

1 West Broadway
Paterson, NJ 07505
Phone (973) 684-3803

Other identifiers 1

IdentifierTypeStateIssuer
8378100MedicaidNJ

Other names 1

  • Downtown Dental Center Former legal business name

National Provider Directory

National Provider Directory

Locations

1 W Broadway
Paterson, NJ 07505
Phone (973) 295-5741

Practitioners & affiliated clinicians

Practitioners 11

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330128000000",
    "number": "1801929591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WEST BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07505",
            "telephone_number": "973-684-3803",
            "fax_number": "973-742-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07505",
            "telephone_number": "973-684-3803",
            "fax_number": "973-742-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BROADWAY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-02-25",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "973-684-3803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8378100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; 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.