West New York Dental LLC

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

Last updated

Jul 1, 2013By the provider in NPPES

Organization subpart

No

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

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Foujan Nouri, DMD

  • General Practice Dentistry
  • Union City, NJ
  • NPI 1952373391
  NPD (past) Authorized official

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": []
}

• Walgreen Co (Walgreens #05333)
• Walgreen Co (Walgreens #12442)
• Frances Carmen Wan, DPT
• Kevin P Ward, DDS
• Gary John Weitz, DMD
• Scott Weyhe
• Curren M Whitfield, LCSW
• Ellis I Wilcox, MD
• Angelette M Wiley, MPT
• Raashan Carlos Williams, M.D.

• General Practice Dentistry in Union City, NJ
• Providers in Union City, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.