Family Dental Associates of Brookdale, L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

License

21896 Issued in NJ

Legal business name

FAMILY DENTAL ASSOCIATES OF BROOKDALE, L.L.C.

Practice address

988 Broad St
Bloomfield, NJ 07003-2806

Phone

(973) 338-6667

Fax

(973) 338-1856

NPI assigned

Jan 12, 2007

Last updated

Jun 26, 2008By 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

Dr. Michael S. Panitch, D.M.D.NPI 1578670246

Title

Member-Owner

Phone

(973) 338-6667

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Michael Panitch, D.M.D.

  • Dentist
  • Bloomfield, NJ
  • NPI 1578670246
  NPD (past) Authorized official
• Alan S Kaplan, DDS

  • General Practice Dentistry
  • Bloomfield, NJ
  • NPI 1023072428
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1871644419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032806",
            "telephone_number": "973-338-6667",
            "fax_number": "973-338-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032806",
            "telephone_number": "973-338-6667",
            "fax_number": "973-338-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL ASSOCIATES OF BROOKDALE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "PANITCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEMBER-OWNER",
        "authorized_official_telephone_number": "973-338-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "21896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "21896",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye2Eye LLC
• Eyeglass Corner, LLC
• F&a Transportation Inc
• Kristen Failla
• Eric Michael Falk, LPC
• Family Dental Association of Brookdale, LLC
• Family Service League,Inc.
• Cristin Ashley Famularo, A.P.N
• Michael John Fanizzo, D.C.
• Hossam Farag

• Dentist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.