Family Dentistry of South Brunswick, P.a.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

22DI02453200 Issued in NJ

Legal business name

FAMILY DENTISTRY OF SOUTH BRUNSWICK, P.A.

Practice address

4095 US Highway 1 Ste 30
Monmouth Junction, NJ 08852-2160

Phone

(732) 329-8844

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Ling Yang, D.M.DNPI 1306041470

Title

President

Phone

(732) 329-8844

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ling Yang, DMD

  • General Practice Dentistry
  • Monmouth Junction, NJ
  • NPI 1306041470
  NPD (past) Authorized official

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1912186933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 US HIGHWAY 1 STE 30",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522160",
            "telephone_number": "732-329-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 US HIGHWAY 1 STE 30",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522160",
            "telephone_number": "732-329-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF SOUTH BRUNSWICK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "LING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-329-8844",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "22DI02453200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.