Jonathan Min, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI017865 Issued in NJ

Practice address

39 Cambridge Dr
Matawan, NJ 07747-2227

Phone

(732) 566-4200

Fax

(732) 566-6070

NPI assigned

Jun 7, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jonathan Min DDS LLC

  • Dentist
  • Aberdeen, NJ
  • NPI 1114888138
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003019910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CAMBRIDGE DR",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472227",
            "telephone_number": "732-566-4200",
            "fax_number": "732-566-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CAMBRIDGE DR",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472227",
            "telephone_number": "732-566-4200",
            "fax_number": "732-566-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI017865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Margaret Milfort, NP
• Anna Milrud
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• Nina M Mineo-Pankiewitz, PTA
• Dolores M Mingione, MSW, LCSW
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• Danielle Francesca Mondello, FNP-BC

• General Practice Dentistry in Matawan, NJ
• Providers in Matawan, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.