Active NPI
Madison Dentistry LLC
- Dentist
- Madison, NJ
National Provider Identifier
1003457441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MADISON DENTISTRY LLC
- Practice address
- 268 Main Street, Suite B
Madison, NJ 07940 - Phone
- (973) 822-8003
- NPI assigned
- Oct 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jenny Lau, DMD
- Title
- Dentist
- Phone
- (917) 667-1488
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X |
Addresses
Primary practice location
268 Main Street, Suite B
Madison, NJ 07940
Mailing address
268 Main Street, Suite B
Madison, NJ 07940
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Madison, NJ
- NPI 1114446200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570492800000",
"number": "1003457441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 MAIN STREET, SUITE B",
"city": "MADISON",
"state": "NJ",
"postal_code": "07940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 MAIN STREET, SUITE B",
"city": "MADISON",
"state": "NJ",
"postal_code": "07940",
"telephone_number": "973-822-8003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-07",
"last_updated": "2019-10-08",
"status": "A",
"authorized_official_last_name": "LAU",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "917-667-1488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.