NPIMap

Organization Active NPI

Bgaw Treatment

  • Dentist
  • South Orange, NJ
National Provider Identifier
1982087656
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI018205 Issued in PA
Legal business name
BGAW TREATMENT
Practice address
206 Montrose Ave
South Orange, NJ 07079-2417
Phone
(973) 640-0732
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Barry Glassman, DDS
Title
Owner
Phone
(908) 258-0341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DI018205 PA Primary

Addresses

Primary practice location

206 Montrose Ave
South Orange, NJ 07079-2417

Mailing address

206 Montrose Ave
South Orange, NJ 07079-2417
Phone (973) 640-0732

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1982087656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MONTROSE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792417",
            "telephone_number": "973-640-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MONTROSE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792417",
            "telephone_number": "973-640-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BGAW TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-258-0341",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DI018205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.