NPIMap

Organization Active NPI

Family Dentistry of East Brunswick

  • General Practice Dentistry
  • East Brunswick, NJ
National Provider Identifier
1821716010
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY DENTISTRY OF EAST BRUNSWICK
Practice address
647 Route 18 Ste a
East Brunswick, NJ 08816-3747
Phone
(813) 842-5953
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Dr. Ami Shah, DMDNPI 1326699851
Title
Owner
Phone
(732) 487-3210

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

647 Route 18 Ste a
East Brunswick, NJ 08816-3747

Mailing address

647 Route 18 Ste a
East Brunswick, NJ 08816-3747
Phone (732) 487-3210

National Provider Directory

National Provider Directory

Locations

647 Route 18
Ste A
East Brunswick, NJ 08816
Phone (732) 487-3210

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": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1821716010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 ROUTE 18 STE A",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163747",
            "telephone_number": "732-487-3210",
            "fax_number": "732-686-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 ROUTE 18 STE A",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163747",
            "telephone_number": "813-842-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF EAST BRUNSWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-487-3210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.