Atlantic Dentalhealthcare,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18530 Issued in NJ

Legal business name

ATLANTIC DENTALHEALTHCARE,PA

Practice address

28 Throckmorton LN
Old Bridge, NJ 08857-2558

Phone

(732) 679-8300

Fax

(732) 679-8305

NPI assigned

May 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ramalingam Vaidyaselvan, BDS,DDS

Title

President

Phone

(732) 679-8300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982819983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572558",
            "telephone_number": "732-679-8300",
            "fax_number": "732-679-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 THROCKMORTON LN",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572558",
            "telephone_number": "732-679-8300",
            "fax_number": "732-679-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC DENTALHEALTHCARE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAIDYASELVAN",
        "authorized_official_first_name": "RAMALINGAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-679-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS,DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "18530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.