Spotswood Family Dental LLC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02209900 Issued in NJ

Legal business name

SPOTSWOOD FAMILY DENTAL LLC.

Practice address

2 Auer CT Ste C
East Brunswick, NJ 08816-5824

Phone

(732) 251-6010

Fax

(732) 251-6016

NPI assigned

Nov 22, 2007

Last updated

Jan 28, 2013By 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. Maggie KasisaNPI 1821116310

Title

Dentist DDS

Phone

(732) 251-6010

Specialties & licenses 1

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.

• Maggie Kasisa, DDS

  • General Practice Dentistry
  • East Brunswick, NJ
  • NPI 1821116310
  NPD (past) Authorized official

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

{
    "created_epoch": "1195689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1942481676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AUER CT STE C",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AUER CT STE C",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165824",
            "telephone_number": "732-251-6010",
            "fax_number": "732-251-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOTSWOOD FAMILY DENTAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-22",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "KASISA",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "DENTIST DDS",
        "authorized_official_telephone_number": "732-251-6010",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02209900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in East Brunswick, NJ
• Providers in East Brunswick, 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 Jan 28, 2013; 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.