New Dental Image Asso.Corp

LBN: New Dental Image Asso.Corp
New Dental Image Asso.Corp is an health care organization with primary practice located at 9238 Kennedy Blvd , North Bergen NJ 07047-5312. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. New Dental Image Asso.Corp can be contacted via phone (201) 295-1706, or through Wert, Rodolfo P via phone (201) 295-1706.

Contact Information

Primary practice address
9238 Kennedy Blvd North Bergen NJ 07047-5312
Phone: (201) 295-1706
Fax: (201) 295-9507
Website:
Map and Directions
Authorized official contact:
Name: Wert, Rodolfo P Doctor of Dental Surgery (DDS)
Phone: (201) 295-1706

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1760524078
LBN Legal business name New Dental Image Asso.Corp
DBA Doing business as
Authorized official Wert, Rodolfo P Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760524078 NPPES
New Jersey MEDICAID 0086185

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