Organization Active NPI

Guttenberg Dental Associates, P.C.

  • General Practice Dentistry
  • Guttenberg, NJ
National Provider Identifier
1821086869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI-13595 Issued in NJ
Legal business name
GUTTENBERG DENTAL ASSOCIATES, P.C.
Practice address
6800 Bergenline Ave
Guttenberg, NJ 07093-1826
Phone
(201) 861-6000
Fax
(201) 861-6002
NPI assigned
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph P Prasad, D.M.D.
Title
President
Phone
(201) 861-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI-13595 NJ Primary

Addresses

Primary practice location

6800 Bergenline Ave
Guttenberg, NJ 07093-1826

Mailing address

6800 Bergenline Ave
Guttenberg, NJ 07093-1826
Phone (201) 861-6000

Other identifiers 1

IdentifierTypeStateIssuer
5562805MedicaidNJ

National Provider Directory

National Provider Directory

Locations

6800 Bergenline Ave
Guttenberg, NJ 07093
Phone (201) 861-6000

Practitioners & affiliated clinicians

Practitioners 2

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": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821086869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 BERGENLINE AVE",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070931826",
            "telephone_number": "201-861-6000",
            "fax_number": "201-861-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 BERGENLINE AVE",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070931826",
            "telephone_number": "201-861-6000",
            "fax_number": "201-861-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTTENBERG DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-861-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI-13595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5562805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guttenberg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.