NPIMap

Organization Active NPI

Paul Ferguson, DMD, LLC

  • General Practice Dentistry
  • Fair Haven, NJ
National Provider Identifier
1982876280
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01982100 Issued in NJ
Legal business name
PAUL FERGUSON, DMD, LLC
Practice address
479 River Rd
Fair Haven, NJ 07704-3031
Phone
(732) 747-1224
Fax
(732) 747-0145
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Paul Ferguson, DMDNPI 1942413802
Title
President
Phone
(732) 747-1224

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI01982100 NJ Primary

Addresses

Primary practice location

479 River Rd
Fair Haven, NJ 07704-3031

Mailing address

479 River Rd
Fair Haven, NJ 07704-3031
Phone (732) 747-1224

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1982876280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 RIVER RD",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043031",
            "telephone_number": "732-747-1224",
            "fax_number": "732-747-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 RIVER RD",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043031",
            "telephone_number": "732-747-1224",
            "fax_number": "732-747-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL FERGUSON, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-747-1224",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01982100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Haven, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.