# NEW YORK AVENUE DENTAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588998405
- **Authorized official:** DR. FADI I BEYDOUN D.M.D (PRESIDENT)
- **Authorized official phone:** (201) 305-8800

## Contact information

- **Practice address:** 3703 NEW YORK AVE, UNION CITY, NJ 07087-4807
- **Practice address phone:** (201) 305-8800
- **Practice address fax:** (201) 305-8900
- **Mailing address:** 3703 NEW YORK AVE, UNION CITY, NJ 07087-4807
- **Mailing address phone:** (201) 305-8800
- **Mailing address fax:** (201) 305-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | 19152 | NJ | — |

## Other

- **Enumeration date:** 09/24/2009
- **Last updated:** 09/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0208540 | — | NJ |