Newark Pediatric Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEWARK PEDIATRIC DENTAL LLC

Doing business as

Bambino Dentistry for Kids

Practice address

419 Chestnut Street
Unit 1B
Newark, NJ 07105

Phone

(973) 344-8170

NPI assigned

Jan 3, 2025

Last updated

Jan 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Di Cesare, DMDNPI 1528020245

Title

Owner

Phone

(732) 492-8621

Specialties & licenses 1

Addresses

Other names 1

• Bambino Dentistry for Kids Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Dicesare, DMD

  • General Practice Dentistry
  • Toms River, NJ
  • NPI 1528020245
  NPD Authorized official

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1821807819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 CHESTNUT STREET",
            "address_2": "UNIT 1B",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 CHESTNUT STREET",
            "address_2": "UNIT 1B",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07105",
            "telephone_number": "973-344-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK PEDIATRIC DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "DI CESARE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-492-8621",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bambino Dentistry for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Newark Medical Associates
• Newark Mobile Blood Draw LLC
• Newark New Pharmacy LLC (Newark Rx Pharmacy)
• Newark Pain & Injury Center
• Newark Pain and Rehab Center, LLC
• Newark Pharmacy LLC
• Newark Physical Therapy
• Newark Prep Charter School
• Newark Prime Care,LLC
• Newark Public Schools

• Dental Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.