Organization Active NPI

LN Passarelli DDS

  • General Practice Dentistry
  • Ridgewood, NJ
National Provider Identifier
1871623033
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16974 Issued in NJ
Legal business name
LN PASSARELLI DDS
Practice address
172 Franklin Ave
Ridgewood, NJ 07450-3250
Phone
(201) 444-4050
NPI assigned
Mar 6, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Lawrence Nicholas Passarelli, D.D.S.
Title
President
Phone
(201) 444-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16974 NJ Primary

Addresses

Primary practice location

172 Franklin Ave
Ridgewood, NJ 07450-3250

Mailing address

172 Franklin Ave
Ridgewood, NJ 07450-3250
Phone (201) 444-4050

National Provider Directory

National Provider Directory

Locations

172 Franklin Ave
Ridgewood, NJ 07450
Phone (201) 444-4050

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1871623033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 FRANKLIN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503250",
            "telephone_number": "201-444-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 FRANKLIN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503250",
            "telephone_number": "201-444-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LN PASSARELLI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PASSARELLI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-444-4050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "16974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.