CENTRAL JERSEY PEDIATRIC DENTISTRY & ORTHODONTICS LLC (NPI# 1073767281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073767281 |
| Entity Type | Organization |
| Organization Name | CENTRAL JERSEY PEDIATRIC DENTISTRY & ORTHODONTICS LLC |
| Practice Address |
176 Summerhill Rd East Brunswick NJ 08816-4908 |
| Practice Telephone | 7322575588 |
| Practice Fax Number | 7322579189 |
| Mailing Telephone | 7322575588 |
| Mailing Fax Number | 7322579189 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | DR. MICHELLE MAY BACKHAUS (OWNER/ PEDIATRIC DENTIST) |
| Authorized Official Telephone | 7322575588 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
22DI02295100 | NJ | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DI02292000 | NJ | Dental Providers |
| Street Address |
176 SUMMERHILL RD |
| City | EAST BRUNSWICK |
| State | NJ |
| Zip Code | 08816-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033272919 | Christopher Russell Overcash | Dentist | 176 Summerhill Rd, East Brunswick, NJ 08816-4908 | 2006-12-19 |
| 1902954480 | Irvin B Sherman, Dds, Pa | Dentist | 176 Summerhill Rd, East Brunswick, NJ 08816-4908 | 2007-01-08 |
| 1134283401 | Irvin Bruce Sherman | Dentist | 176 Summerhill Rd, East Brunswick, NJ 08816-4908 | 2006-12-21 |
| 1801959804 | Michelle M Backhaus | Dentist | 176 Summerhill Rd, East Brunswick, NJ 08816-4908 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307955 | Julia Brillante | Psychologist | Center for Cognitive Behavior Therapy, 190 Route 18 North, Suite 203, East Brunswick, NJ 08816 | 2020-08-20 |
| 1790393247 | Caring Homecare LLC | Home Health | 723 Nj - 18, East Brunswick, NJ 08816 | 2020-07-21 |
| 1710527957 | Sophisticated Ventures LLC | Home Health | 197 Nj-18 South Suite 3000, East Brunswick, NJ 08816 | 2020-01-15 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1356805402 | Sr Plastic Surgery PC | Surgery | 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 | 2019-01-23 |
| 1083199012 | Kami Ives | Speech-Language Pathologist | 431 Cranbury Rd., East Brunswick, NJ 08816 | 2018-09-25 |
| 1316442460 | Emily Katherine Smith | Physician Assistant | 418 Route 18, East Brunswick, NJ 08816 | 2018-03-29 |
| 1942713649 | Apluscare, LLC | Community/Behavioral Health | 3105 Commons Dr, East Brunswick, NJ 08816 | 2017-11-16 |
| 1093234338 | Larissa Rachel Elk | Occupational Therapist | 11 Mayfair Court, East Brunswick, NJ 08816 | 2017-09-19 |
| Find all providers in zip 08816 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407031198 | Pediatric Dental Care, PC | Dentist | 9 Brunswick Woods Dr, East Brunswick, NJ 08816-5601 | 2008-01-01 |
| 1447396387 | Rachel M Hoffmann | Dentist | C-4 Cornwall Drive, East Brunswick, NJ 08816 | 2007-01-29 |
| 1336294412 | Jason Nudelman | Dentist | 17 Brunswick Woods Drive, East Brunswick, NJ 08816 | 2007-01-25 |
| 1831244508 | Stephen E. Hoffmann,dds,pa | Dentist | C4 Cornwall Ct, East Brunswick, NJ 08816-3352 | 2007-01-24 |
| 1285921841 | Jena Marie Barry | Dentist | 17 Brunswick Woods Dr, East Brunswick, East Brunswick, NJ 08816-5601 | 2011-07-05 |
| 1265587927 | Stephen Edward Hoffmann | Dentist | C4 Cornwall Ct, East Brunswick, NJ 08816-3352 | 2007-01-24 |
| 1902954480 | Irvin B Sherman, Dds, Pa | Dentist | 176 Summerhill Rd, East Brunswick, NJ 08816-4908 | 2007-01-08 |
| 1134283401 | Irvin Bruce Sherman | Dentist | 176 Summerhill Rd, East Brunswick, NJ 08816-4908 | 2006-12-21 |
| 1801959804 | Michelle M Backhaus | Dentist | 176 Summerhill Rd, East Brunswick, NJ 08816-4908 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508481565 | Kids First Pediatric Dentistry LLC | Dentist | 740 Marne Hwy Ste 103, Moorestown, NJ 08057-3126 | 2020-06-15 |
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1558831370 | Amazing Smiles Dentistry for Children, Pa | Dentist | 160 Mountain Ave Ste 101, Hackettstown, NJ 07840-2324 | 2018-12-05 |
| 1063915403 | Singh and Smile Pediatric Dentistry | Dentist | 180 South St Ste 104, New Providence, NJ 07974-1991 | 2018-03-12 |
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1972026144 | Otto M Choi Dds, PC | Dentist | 345 Old Hook Rd, Westwood, NJ 07675-3201 | 2017-07-19 |
| 1386175149 | William Christian Bertram Desonne | Dentist | 1692 Clements Bridge Rd, Deptford, NJ 08096-3028 | 2017-03-23 |
| 1295275758 | Anjali Soni | Dentist | 1910 East Route 70, Ste 9, Cherry Hill, NJ 08003 | 2017-03-03 |
| 1821542176 | Amy R Patel | Dentist | 191 Rte 206 Ste 11, Flanders, NJ 07836-9002 | 2016-08-03 |
| 1891248647 | Lyndhurst Pediatric Dentistry, LLC | Dentist | 710 Ridge Rd, Lyndhurst, NJ 07071-3224 | 2016-07-28 |
| Find all providers with the same taxonomy | ||||
| City | EAST BRUNSWICK |
| Zip Code | 08816 |
Please comment or provide details below to improve the information on CENTRAL JERSEY PEDIATRIC DENTISTRY & ORTHODONTICS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.