NPIMap

Organization Active NPI

Smile 1St Dental Care

  • Dentist
  • Rahway, NJ
National Provider Identifier
1891900353
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D102107100 Issued in NJ
Legal business name
SMILE 1ST DENTAL CARE
Practice address
2293 St. Georges Ave.
Rahway, NJ 07065
Phone
(732) 822-8669
Fax
(732) 381-2997
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Ramoncito C Benito, DDSNPI 1255545596
Title
Owner
Phone
(732) 822-8669

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22D102107100 NJ Primary

Addresses

Primary practice location

2293 St. Georges Ave.
Rahway, NJ 07065

Mailing address

2293 St. Georges Ave.
Rahway, NJ 07065
Phone (732) 822-8669

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1891900353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 ST. GEORGES AVE.",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-822-8669",
            "fax_number": "732-381-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2293 ST. GEORGES AVE.",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-822-8669",
            "fax_number": "732-381-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE 1ST DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "BENITO",
        "authorized_official_first_name": "RAMONCITO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-822-8669",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102107100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.