Active NPI
Divya Jha, DDS
- Endodontics
- Closter, NJ
National Provider Identifier
1043411085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 22DI02332100
- Practice address
- 235 Closter Dock Rd
Closter, NJ 07624-1907 - Phone
- (201) 768-6101
- NPI assigned
- May 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 22DI02332100 | NJ | Primary |
Addresses
Primary practice location
235 Closter Dock Rd
Closter, NJ 07624-1907
Mailing address
61 W 62ND St
Apt 6G
New York, NY 10023-7015
Phone (917) 570-9995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02332100 | NJ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043411085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 W 62ND ST",
"address_2": "APT 6G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237015",
"telephone_number": "917-570-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 CLOSTER DOCK RD",
"city": "CLOSTER",
"state": "NJ",
"postal_code": "076241907",
"telephone_number": "201-768-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JHA",
"first_name": "DIVYA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "22DI02332100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Closter, NJ
Sources for this page
- 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.