EAST BRUNSWICK PEDIATRIC DENTISTRY
NPI 1245697788
Dentist - Pediatric Dentistry in East Brunswick, NJ

Active since January 27, 2016
17 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816(732) 238-5100(732) 238-0792 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2021, Jan 27, 2016 (2 updates tracked since 2016).

About East Brunswick Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST BRUNSWICK PEDIATRIC DENTISTRY (NPI 1245697788) is a healthcare organization registered as a pediatric dentistry in East Brunswick, New Jersey and active in the NPI registry since January 2016. The organization lists Shannon B Pitt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1245697788
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJASON NUDELMAN, DDS PC
Location Address17 BRUNSWICK WOODS DREast Brunswick, NJ 08816-5601
Mailing Address975 Tuckerton Rd Ste 201Marlton, NJ 08053-2663 · (856) 291-6888 · Fax (856) 985-3412
Fax(732) 238-0792
Organization SubpartNo
Authorized OfficialShannon B PittOffice Manager · (856) 291-6888
Enumeration DateJanuary 27, 2016
Last NPPES UpdateAugust 13, 20212 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
NPI 1245697788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NJ · 22DI02298700
Definition
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.
17 BRUNSWICK WOODS DR, East Brunswick, NJ 08816

Other Names 1

Doing Business AsEast Brunswick Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
17 BRUNSWICK WOODS DR, EAST BRUNSWICK
EAST BRUNSWICK, NJ 08816
Dentist (Orthodontics and Dentofacial Orthopedics)
17 BRUNSWICK WOODS DR
EAST BRUNSWICK, NJ 08816
Dentist (Orthodontics and Dentofacial Orthopedics)
17 BRUNSWICK WOODS DR
EAST BRUNSWICK, NJ 08816
Dentist (Orthodontics and Dentofacial Orthopedics)
17 BRUNSWICK WOODS DR
EAST BRUNSWICK, NJ 08816

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Nudelman, Dds PC's NPI number?

The NPI number for Jason Nudelman, Dds PC is 1245697788. It was assigned to this organization in the NPPES registry on January 27, 2016. The provider is doing business as East Brunswick Pediatric Dentistry.

Where is Jason Nudelman, Dds PC located?

Jason Nudelman, Dds PC is located at 17 Brunswick Woods Dr, East Brunswick, NJ 08816. The listed phone number is (732) 238-5100.

What is Jason Nudelman, Dds PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jason Nudelman, Dds PC was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.