Organization Active NPI

Bordentown Family Dental PC

  • Dentist
  • Bordentown, NJ
National Provider Identifier
1891721346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12109L Issued in NJ
Legal business name
BORDENTOWN FAMILY DENTAL PC
Practice address
227 Farnsworth Avenue
Bordentown, NJ 08505-1807
Phone
(609) 298-0059
Fax
(609) 291-8588
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mitchell G Cohen, DMDNPI 1841334075
Title
President
Phone
(609) 298-0259

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D115050 NJ
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D12109L NJ Primary

Addresses

Primary practice location

227 Farnsworth Avenue
Bordentown, NJ 08505-1807

Mailing address

227 Farnsworth Avenue
Bordentown, NJ 08505-1807
Phone (609) 298-0059

Other names 1

  • Urken & Stoneback PA Former legal business name

National Provider Directory

National Provider Directory

Locations

227 Farnsworth Ave
Bordentown, NJ 08505
Phone (609) 298-0059

Practitioners & affiliated clinicians

Practitioners 2

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891721346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 FARNSWORTH AVENUE",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051807",
            "telephone_number": "609-298-0059",
            "fax_number": "609-291-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 FARNSWORTH AVENUE",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051807",
            "telephone_number": "609-298-0059",
            "fax_number": "609-291-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDENTOWN FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-298-0259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "D115050",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "D12109L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urken & Stoneback PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bordentown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.