Jeffrey D Haimson DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D10742400 Issued in NJ

Legal business name

JEFFREY D HAIMSON DMD

Practice address

1018 Broad St Ste 4
Bloomfield, NJ 07003-2884

Phone

(201) 247-1758

NPI assigned

Jun 5, 2018

Last updated

Jun 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Haimson

Title

DMD, Owner

Phone

(201) 247-1758

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1023500030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FOX HOLLOW RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459341",
            "telephone_number": "201-247-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 BROAD ST STE 4",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032884",
            "telephone_number": "201-247-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D HAIMSON DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "HAIMSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DMD, OWNER",
        "authorized_official_telephone_number": "201-247-1758",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D10742400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shavon Leigh Jackson-Michel, N.D.
• Roy F Jackson, DC
• Ellen James, EDD, OTR/L
• Jessica Janocha, M.S. CCC-SLP
• Jeanna Roberta Jean Louis, NP
• Frances Jersie, LPC
• Tiffany R Jetter-Mace, M.A., BCBA
• JG Optical Inc.
• Frederic Jimenez, ATC, CSCS, USAW
• Kristine Jimenez, COTA

• General Practice Dentistry in Bloomfield, NJ
• Providers in Bloomfield, 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 Jun 5, 2018; 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.