NPIMap

Organization Active NPI

Emerald Dental Spa

  • General Practice Dentistry
  • Union, NJ
National Provider Identifier
1881150449
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EMERALD DENTAL SPA
Practice address
397 Chestnut St Ste 1
Union, NJ 07083-9419
Phone
(201) 213-2331
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Dr. Sachi Shah, DMDNPI 1336504323
Title
Dentist
Phone
(908) 687-6061

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 SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

397 Chestnut St Ste 1
Union, NJ 07083-9419

Mailing address

397 Chestnut St Ste 1
Union, NJ 07083-9419
Phone (908) 687-6061

National Provider Directory

National Provider Directory

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": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1881150449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 CHESTNUT ST STE 1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839419",
            "telephone_number": "908-687-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 CHESTNUT ST STE 1",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839419",
            "telephone_number": "201-213-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD DENTAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SACHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "908-687-6061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.