Lakewood Kids and Adolescent Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKEWOOD KIDS AND ADOLESCENT DENTISTRY

Practice address

1776 Avenue of the States
Suite 105
Lakewood, NJ 08701

Phone

(917) 613-1934

NPI assigned

Jan 17, 2018

Last updated

Jan 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nassi Figdor, DDSNPI 1821228438

Title

Owner

Phone

(917) 613-1934

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, and the practitioner matching its NPPES authorized official.

• Nassi Figdor

  • Dentist
  • Brooklyn, NY
  • NPI 1821228438
  NPD Authorized official

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1912415597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 17TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 AVENUE OF THE STATES",
            "address_2": "SUITE 105",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "917-613-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD KIDS AND ADOLESCENT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "FIGDOR",
        "authorized_official_first_name": "NASSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-613-1934",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakewood Foot and Ankle Specialist, LLC
• Lakewood Foot and Ankle Specialists
• Lakewood Hatzolah, LLC
• Lakewood Hospitalists
• Lakewood Immediate Care
• Lakewood Obstetrics & Gynecology PA
• Lakewood Pediatric Associates
• Lakewood Pediatric Dental Associates
• Lakewood Pharmacy LLC (Refua Pharmacy)
• Lakewood Physical Therapy and Acupuncture

• Dental Clinic/Center in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.