Organization Active NPI

Palisades Dental Kids

  • Pediatric Dentistry
  • Dumont, NJ
National Provider Identifier
1972212371
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PALISADES DENTAL KIDS
Practice address
47 E Madison Ave Ste 2
Dumont, NJ 07628-2417
Phone
(201) 308-3795
NPI assigned
Nov 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Yael KryzmanNPI 1609040286
Title
Dentist
Phone
(917) 882-8055

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 Primary

Addresses

Primary practice location

47 E Madison Ave Ste 2
Dumont, NJ 07628-2417

Mailing address

47 E Madison Ave Ste 2
Dumont, NJ 07628-2417
Phone (201) 308-3795

National Provider Directory

National Provider Directory

Locations

47 E Madison Ave
Ste 2
Dumont, NJ 07628
Phone (201) 308-3795

Practitioners & affiliated clinicians

Practitioners 1

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": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1972212371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E MADISON AVE STE 2",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282417",
            "telephone_number": "201-308-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 E MADISON AVE STE 2",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282417",
            "telephone_number": "201-308-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADES DENTAL KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "KRYZMAN",
        "authorized_official_first_name": "YAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-882-8055"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumont, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.