North Bergen Dental Medicine Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D101462000 Issued in NJ

Legal business name

NORTH BERGEN DENTAL MEDICINE ASSOCIATES

Practice address

30 Ferry St
Newark, NJ 07105-1438

Phone

(973) 589-5900

Fax

(973) 589-5969

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Omar F Suarez, D.M.DNPI 1891869814

Title

Owner/Dentist

Phone

(973) 589-5900

Specialties & licenses 1

Addresses

Practitioners 1

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

• Omar F. Suarez, D.M.D.

  • Orofacial Pain Dentistry
  • New York, NY
  • NPI 1891869814

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1922487206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051438",
            "telephone_number": "973-589-5900",
            "fax_number": "973-589-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051438",
            "telephone_number": "973-589-5900",
            "fax_number": "973-589-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BERGEN DENTAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "973-589-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101462000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raihan Noman, MD
• Hathija Noor
• Seth Isaac Noorbakhsh, MD
• Akbar Hussain Noormohamed, DO
• Khiara Annaysia Noriega, LSW
• North End Family Medical Care Inc.
• North Jersey AIDS Alliance
• North Jersey Community Research Initiative
• North Jersey Community Research Initiative
• North Jersey Community Research Initiative

• General Practice Dentistry in Newark, NJ
• Providers in Newark, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.