NEW DENTAL IMAGE ASSO.CORP NPI 1760524078

NPI Information

  • NPI: 1760524078
  • Provider Name: NEW DENTAL IMAGE ASSO.CORP
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 9238 KENNEDY BLVD
    NORTH BERGEN, NJ
    ZIP 07047
  • Phone: (201) 295-1706

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NPI Details

NEW DENTAL IMAGE ASSO.CORP is a dental clinic center in North Bergen, NJ. NEW DENTAL IMAGE ASSO.CORP NPI is 1760524078. The provider is registered as an organization entity type.

The provider's business location address is:

9238 KENNEDY BLVD
NORTH BERGEN, NJ
ZIP 07047-312
Phone: (201) 295-1706
Fax: (201) 295-9507

The provider's authorized official is Rodolfo P Wert .
The authorized official title is Dentist and has the following contact phone number (201) 295-1706.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10086185MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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