Organization Active NPI

Umdnj - School of Health Related Professions

  • Dental Clinic/Center
  • Newark, NJ
National Provider Identifier
1942452602
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22HI00436800 Issued in NJ
Legal business name
UMDNJ - SCHOOL OF HEALTH RELATED PROFESSIONS
Practice address
65 Bergen St Ste 120
Newark, NJ 07107-3001
Phone
(973) 972-4496
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Mrs. Avril Lecky
Title
Coordinator Faculty Personnel Admin
Phone
(973) 972-4496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22HI00436800 NJ Primary

Addresses

Primary practice location

65 Bergen St Ste 120
Newark, NJ 07107-3001

Mailing address

65 Bergen St Ste 120
Newark, NJ 07107-3001
Phone (973) 972-4496

National Provider Directory

National Provider Directory

Locations

65 Bergen St
Ste 120
Newark, NJ 07107
Phone (973) 972-4496

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1942452602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BERGEN ST STE 120",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073001",
            "telephone_number": "973-972-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BERGEN ST STE 120",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073001",
            "telephone_number": "973-972-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMDNJ - SCHOOL OF HEALTH RELATED PROFESSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "LECKY",
        "authorized_official_first_name": "AVRIL",
        "authorized_official_title_or_position": "COORDINATOR FACULTY PERSONNEL ADMIN",
        "authorized_official_telephone_number": "973-972-4496",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22HI00436800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.