Fort Lee Orthodontic Associates PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

FORT LEE ORTHODONTIC ASSOCIATES PC

Practice address

2185 Lemoine Ave
Fort Lee, NJ 07024-6036

Phone

(201) 944-9208

Fax

(201) 944-3630

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By 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. Jon Ethan Golub, D.M.D.NPI 1285722769

Title

President

Phone

(201) 944-9208

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon Ethan Golub, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Lee, NJ
  • NPI 1285722769
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033296959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246036",
            "telephone_number": "201-944-9208",
            "fax_number": "201-944-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246036",
            "telephone_number": "201-944-9208",
            "fax_number": "201-944-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LEE ORTHODONTIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLUB",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ETHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-944-9208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Lee Foot and Ankle Center PC
• Fort Lee Health Center PC
• Fort Lee Health Supplies
• Fort Lee Internal Medicine PC
• Fort Lee Medical Center, Inc. (Fort Lee Surgery Center)
• Fort Lee Pain Management LLC
• Fort Lee Pharmacy & Surgical Inc (Fort Lee Pharmacy & Surgicals)
• Fort Lee Pharmacy & Surgical Inc (Fort Lee Pharmacy and Surgicals Inc)
• Fort Lee Physical Therapy, P.C.
• Fort Lee Podiatry Group LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.