NPIMap

Organization Active NPI

Smile Central Passaic P.C.

  • General Practice Dentistry
  • Passaic, NJ
National Provider Identifier
1972737583
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02153300 Issued in NJ
Legal business name
SMILE CENTRAL PASSAIC P.C.
Practice address
625 Main Ave
3Rd Floor
Passaic, NJ 07055-4952
Phone
(973) 574-1000
Fax
(973) 574-1001
NPI assigned
May 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Robert Grunstein, DMDNPI 1487866794
Title
Owner
Phone
(201) 658-8839

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22DI02153300 NJ Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 22DI02283000 NJ

Addresses

Primary practice location

625 Main Ave
3Rd Floor
Passaic, NJ 07055-4952

Mailing address

625 Main Ave
3Rd Floor
Passaic, NJ 07055-4952
Phone (973) 574-1000

National Provider Directory

National Provider Directory

Locations

625 Main Ave
Ste 3
Passaic, NJ 07055
Phone (973) 574-1000

Practitioners & affiliated clinicians

Practitioners 3

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": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1972737583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MAIN AVE",
            "address_2": "3RD FLOOR",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554952",
            "telephone_number": "973-574-1000",
            "fax_number": "973-574-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MAIN AVE",
            "address_2": "3RD FLOOR",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554952",
            "telephone_number": "973-574-1000",
            "fax_number": "973-574-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTRAL PASSAIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "GRUNSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-658-8839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02153300",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02283000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.