NPIMap

Organization Active NPI

Princeton Dental, P.a.

  • General Practice Dentistry
  • Brick, NJ
National Provider Identifier
1891834701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D101982800 Issued in NJ
Legal business name
PRINCETON DENTAL, P.A.
Practice address
15 Princeton Ave
Brick, NJ 08724-3515
Phone
(732) 840-1199
NPI assigned
Feb 6, 2007
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. Frederick W Nirschl, DDSNPI 1700972270
Title
Owner
Phone
(732) 840-1199

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 22D101982800 NJ Primary

Addresses

Primary practice location

15 Princeton Ave
Brick, NJ 08724-3515

Mailing address

900 Brookside Ave
Ocean, NJ 07712-4144
Phone (732) 663-0873

National Provider Directory

National Provider Directory

Locations

15 Princeton Ave
Brick, NJ 08724
Phone (732) 840-1199

Practitioners & affiliated clinicians

Practitioners 3

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891834701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BROOKSIDE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124144",
            "telephone_number": "732-663-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PRINCETON AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243515",
            "telephone_number": "732-840-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIRSCHL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-840-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101982800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, 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.