Organization Active NPI

Avant Garde Dental Arts

  • General Practice Dentistry
  • Wayne, NJ
National Provider Identifier
1831763028
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AVANT GARDE DENTAL ARTS
Practice address
506 Hamburg Tpke Ste 208
Wayne, NJ 07470-2069
Phone
(973) 904-3336
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Alexander Gerskowitz, DDSNPI 1013931286
Title
President
Phone
(973) 904-3336

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

506 Hamburg Tpke Ste 208
Wayne, NJ 07470-2069

Mailing address

506 Hamburg Tpke Ste 208
Wayne, NJ 07470-2069
Phone (973) 904-3336

Other names 1

  • AVANT GARDE DENTAL ARTS Former legal business name

National Provider Directory

National Provider Directory

Locations

506 Hamburg Tpke
Ste 208
Wayne, NJ 07470
Phone (973) 302-2072

Practitioners & affiliated clinicians

Practitioners 1

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": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1831763028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 HAMBURG TPKE STE 208",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702069",
            "telephone_number": "973-904-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 HAMBURG TPKE STE 208",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702069",
            "telephone_number": "973-904-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT GARDE DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "GERSKOWITZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-904-3336",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVANT GARDE DENTAL ARTS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.