Edgewater Dental Partners, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EDGEWATER DENTAL PARTNERS, PC

Practice address

725 River Rd Ste 104
Edgewater, NJ 07020-1170

Phone

(917) 513-6419

NPI assigned

Jan 17, 2019

Last updated

Feb 10, 2020By 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

Dr. Lewis Chen, DDSNPI 1669830691

Title

Managing Partner

Phone

(917) 513-6419

Specialties & licenses 3

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.

• Lewis Chen, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1669830691
  NPD Authorized official

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1922572478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 104",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201170",
            "telephone_number": "917-513-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER DENTAL PARTNERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "917-513-6419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Reade (Duane Reade #14267)
• Fanny Duarte
• Amanda Jennifer Dumoff, D.M.D.
• Sofiya Dupliy, RN
• Dutchie Stars LLC
• Edgewater Eyecare Inc
• Edgewater Foot and Ankle Associates, PC
• Edgewater Imaging LLC
• Edgewater Physical Therapy Group
• Lorena M Eguez, PA

• General Practice Dentistry in Edgewater, NJ
• Providers in Edgewater, 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 Feb 10, 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.