NPIMap

Organization Active NPI

Amy Waxman, D.M.D. PA

Doing business as Dentistry for Kids

  • Pediatric Dentistry
  • Edison, NJ
National Provider Identifier
1932565041
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DI02603800 Issued in NJ
Legal business name
AMY WAXMAN, D.M.D. PA
Doing business as
Dentistry for Kids
Practice address
4 Progress St
Suite B1
Edison, NJ 08820-1199
Phone
(908) 757-3191
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Dr. Amy Waxman, D.M.D.NPI 1942514989
Title
Owner
Phone
(908) 757-3191

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 22DI02603800 NJ Primary

Addresses

Primary practice location

4 Progress St
Suite B1
Edison, NJ 08820-1199

Mailing address

4 Progress St
Suite B1
Edison, NJ 08820-1199
Phone (908) 757-3191

Other names 1

  • Dentistry for Kids Doing business as

National Provider Directory

National Provider Directory

Locations

4 Progress St
Ste B1
Edison, NJ 08820
Phone (908) 757-3191

Practitioners & affiliated clinicians

Practitioners 5

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": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1932565041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PROGRESS ST",
            "address_2": "SUITE B1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201199",
            "telephone_number": "908-757-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PROGRESS ST",
            "address_2": "SUITE B1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201199",
            "telephone_number": "908-757-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY WAXMAN, D.M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "WAXMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-757-3191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02603800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.