NPIMap

Organization Active NPI

Collingswood Dental Assoc PA

  • Dentist
  • West Collingswood, NJ
National Provider Identifier
1922054360
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11150 Issued in NJ
Legal business name
COLLINGSWOOD DENTAL ASSOC PA
Practice address
610 Collings Avenue
West Collingswood, NJ 08107-1724
Phone
(856) 854-5848
Fax
(856) 854-6578
NPI assigned
May 26, 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. Roger H Sheinkin, DDSNPI 1316120249
Title
President
Phone
(856) 854-5848

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 9087 NJ
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 10507 NJ
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 11150 NJ Primary

Addresses

Primary practice location

610 Collings Avenue
West Collingswood, NJ 08107-1724

Mailing address

610 Collings Avenue
West Collingswood, NJ 08107-1724
Phone (856) 854-5848

National Provider Directory

National Provider Directory

Locations

610 Collings Ave
West Collingswood, NJ 08107
Phone (856) 854-5848

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922054360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 COLLINGS AVENUE",
            "city": "WEST COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081071724",
            "telephone_number": "856-854-5848",
            "fax_number": "856-854-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 COLLINGS AVENUE",
            "city": "WEST COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081071724",
            "telephone_number": "856-854-5848",
            "fax_number": "856-854-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINGSWOOD DENTAL ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEINKIN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-854-5848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "9087",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "10507",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "11150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Collingswood, 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.