NIHON SHIKA GROUP MITSUWA NPI 1154442085

Clinic/Center (Dental) in Edgewater, NJ

NPI 1154442085 Organization Clinic/Center Dental

About NIHON SHIKA GROUP MITSUWA

Nihon Shika Group Mitsuwa is a provider established in Edgewater, New Jersey specializing in clinic/center (dental) . The NPI number of Nihon Shika Group Mitsuwa is 1154442085 and was assigned on April 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 10635 (NJ). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Gregory Belok D.d.s.,m.p.h. (Owner)

NPI

1154442085

Provider NameNIHON SHIKA GROUP MITSUWA
Provider Location Address595 RIVER RD MITSUWA MARKETPLACE EDGEWATER, NJ 07020
Provider Mailing Address595 RIVER RD MITSUWA MARKETPLACE EDGEWATER, NJ 07020
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-02-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code261QD0000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDental
License No.10635
License StateNJ

Business Address

NIHON SHIKA GROUP MITSUWA
595 RIVER RD
MITSUWA MARKETPLACE
EDGEWATER, NJ
ZIP 07020
Phone: (201) 945-3202

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Mailing Address

NIHON SHIKA GROUP MITSUWA
595 RIVER RD
MITSUWA MARKETPLACE
EDGEWATER, NJ
ZIP 07020
Phone: (201) 945-3202



Authorized Official

Authorized Official NameDR. GREGORY BELOK D.D.S.,M.P.H.
Authorized Official TitleOWNER
Authorized Official Phone(201) 945-3202

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.