Lyndhurst Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22D102310600 Issued in NJ

Legal business name

LYNDHURST PEDIATRIC DENTISTRY, LLC

Practice address

710 Ridge Rd
Lyndhurst, NJ 07071-3224

Phone

(201) 460-3431

Fax

(201) 507-9540

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Neiman, DDS

Title

Owner

Phone

(201) 460-3431

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1891248647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713224",
            "telephone_number": "201-460-3431",
            "fax_number": "201-507-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070713224",
            "telephone_number": "201-460-3431",
            "fax_number": "201-507-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDHURST PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-460-3431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22D102310600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndhurst Audiology Associates. LLC
• Lyndhurst Board of Education
• Lyndhurst Dental Medicine, LLC
• Lyndhurst Family Dental Associates, PC
• Lyndhurst Health Department
• Lyndhurst Podiatry, P.C.
• M&C Medical Ventures, LLC
• Scott Maciag, LPC
• Krystyna Maciejak
• Macula & Retina , P.C.

• Pediatric Dentistry in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.