PEDIATRIC DENTAL ASSOCIATES LLC (NPI# 1932311941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932311941 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL ASSOCIATES LLC |
| Practice Address |
195 South Maple Ave. Ridgewood NJ 07450 |
| Practice Telephone | 2016527020 |
| Practice Fax Number | 2016521550 |
| Mailing Telephone | 2016527020 |
| Mailing Fax Number | 2016521550 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SARI C ZIMMER (SECRETARY) |
| Authorized Official Telephone | 2016527020 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
19114 | NJ | Dental Providers |
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22065 | NJ | Dental Providers |
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
18921 | NJ | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
10720 | NJ | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9871 | NJ | Dental Providers |
| Street Address |
195 SOUTH MAPLE AVE. |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| 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 |
|---|---|---|---|---|
| 1659484012 | Sari Carol Zimmer | Dentist | 195 S Maple Ave, Ridgewood, NJ 07450 | 2006-08-17 |
| 1659572410 | Mary Elizabeth Giacona | Dentist | 1200 E Ridgewood Ave, Ridgewood, NJ 07450-3957 | 2007-05-30 |
| 1639391428 | Cynthia Ann Gilbert-pattison | Dentist | 195 S Maple Ave, Ridgewood, NJ 07450-5142 | 2007-05-03 |
| 1992843619 | Anne M Schultz | Dentist | 1200 East Ridgewood Ave, Ridgewood, NJ 07450 | 2007-02-02 |
| 1750453304 | Vanessa Qureishi Velilla | Dentist | 195 S Maple Ave, Pediatric Dental Associates, Ridgewood, NJ 07450-5142 | 2006-11-15 |
| 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 | ||||
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| 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.