Organization Active NPI

West New York Dental LLC

  • General Practice Dentistry
  • Union City, NJ
National Provider Identifier
1992145205
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02099500 Issued in NJ
Legal business name
WEST NEW YORK DENTAL LLC
Practice address
4900 Bergenline Ave
Union City, NJ 07087-1611
Phone
(201) 921-3033
NPI assigned
Jul 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Dr. Foujan Nouri, DMDNPI 1952373391
Title
Member
Phone
(201) 921-3033

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 22DI02099500 NJ Primary

Addresses

Primary practice location

4900 Bergenline Ave
Union City, NJ 07087-1611

Mailing address

4900 Bergenline Ave
Union City, NJ 07087-1611
Phone (201) 921-3033

National Provider Directory

National Provider Directory

Locations

4900 Bergenline Ave
Union City, NJ 07087
Phone (201) 766-5944

Practitioners & affiliated clinicians

Practitioners 1

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": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1992145205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871611",
            "telephone_number": "201-921-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871611",
            "telephone_number": "201-921-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST NEW YORK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "FOUJAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-921-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02099500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.