Jody Z. Bardash, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DI16947 Issued in NJ

Practice address

10-06 Saddle River Rd
Fair Lawn, NJ 07410-5732

Phone

(201) 797-1555

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Professionals of Fair Lawn PA

  • General Practice Dentistry
  • Fair Lawn, NJ
  • NPI 1275781890
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972666121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10-06 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105732",
            "telephone_number": "201-797-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-06 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105732",
            "telephone_number": "201-797-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDASH",
        "first_name": "JODY",
        "middle_name": "Z.",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI16947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmud Bangash, M.D.
• Anusha Bapatla, M.D.
• Kuchipudi Bapineedu, MD
• Dominick Barbarulo
• Etan Bardash, DMD
• James T Barnett, LAC
• Barr Medical Limited Liability Company
• Jerome Barr, M.D.
• Laurie Barragan, BCBA
• Barry Jansen PC (Barry Jansen DPM)

• Dentist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.