NPIMap

Organization Active NPI

Paul Derman D.M.D. Family Dentistry LLC

  • General Practice Dentistry
  • Trenton, NJ
National Provider Identifier
1912917311
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI20984 Issued in NJ
Legal business name
PAUL DERMAN D.M.D. FAMILY DENTISTRY LLC
Practice address
6 Colonial Lake Dr Ste H
Trenton, NJ 08648-4126
Phone
(609) 883-1600
NPI assigned
Aug 8, 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
Dr. Paul D Derman, D.M.D.NPI 1689772402
Title
President
Phone
(609) 883-1600

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 DI20984 NJ Primary

Addresses

Primary practice location

6 Colonial Lake Dr Ste H
Trenton, NJ 08648-4126

Mailing address

6 Colonial Lake Dr Ste H
Trenton, NJ 08648-4126
Phone (609) 883-1600

National Provider Directory

National Provider Directory

Locations

6 Colonial Lake Dr
Ste H
Trenton, NJ 08648
Phone (609) 883-1600

Practitioners & affiliated clinicians

Practitioners 2

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912917311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COLONIAL LAKE DR STE H",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086484126",
            "telephone_number": "609-883-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COLONIAL LAKE DR STE H",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086484126",
            "telephone_number": "609-883-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL DERMAN D.M.D. FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-883-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, 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.