Bergen Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02522600 Issued in NJ

Legal business name

BERGEN DENTAL GROUP

Practice address

7601 Broadway
North Bergen, NJ 07047-5723

Phone

(215) 485-8757

NPI assigned

Sep 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Monali Ma

Title

President

Phone

(215) 485-8757

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Ma, DMD

  • Periodontics
  • Nanuet, NY
  • NPI 1477830362

  Dentist

  NPD

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1881097293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 BROADWAY",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475723",
            "telephone_number": "215-485-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 BROADWAY",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475723",
            "telephone_number": "215-485-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "MONALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-485-8757",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02522600",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02521000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Bellocq, DOULA
• Anna Belyayeva, DO
• Anusha Elizabeth Ben, MD
• Michael Benhamu, D.M.D.
• Bergen Dental Aesthetics, LLC
• Nicole Berroa
• Elsa R Best, APN
• Better Psychiatry, PC
• Anisha Bhanot, DO
• Sanket Bhattarai, MD

• Dentist in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.