NPIMap

Organization Active NPI

PDG of Union

  • General Practice Dentistry
  • Union, NJ
National Provider Identifier
1891891990
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PDG OF UNION
Practice address
459 Chestnut St
Union, NJ 07083-9313
Phone
(908) 686-5868
Fax
(908) 686-2331
NPI assigned
Sep 15, 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
Richard C Poller, DMDNPI 1316043599
Title
Owner
Phone
(908) 686-5868

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X NJ Primary

Addresses

Primary practice location

459 Chestnut St
Union, NJ 07083-9313

Mailing address

459 Chestnut St
Union, NJ 07083-9313
Phone (908) 686-5868

Other names 1

  • The Apprehensive Patient Doing business as

National Provider Directory

National Provider Directory

Locations

459 Chestnut St
Union, NJ 07083
Phone (908) 686-5868

Practitioners & affiliated clinicians

Practitioners 6

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891891990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839313",
            "telephone_number": "908-686-5868",
            "fax_number": "908-686-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839313",
            "telephone_number": "908-686-5868",
            "fax_number": "908-686-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDG OF UNION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-686-5868",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Apprehensive Patient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.