NPIMap

Organization Active NPI

Jentle Jade LLC

  • General Practice Dentistry
  • New City, NY
National Provider Identifier
1053513630
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048326 Issued in NY
Legal business name
JENTLE JADE LLC
Practice address
2 Omni CT
New City, NY 10956-5211
Phone
(845) 634-5925
Fax
(845) 634-8242
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Dr. Wai Kee Fung, D.D.S.NPI 1366587586
Title
Manager
Phone
(845) 595-6288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 048326 NY Primary

Addresses

Primary practice location

2 Omni CT
New City, NY 10956-5211

Mailing address

1614-0 Union Valley Rd
#310
West Milford, NJ 07480
Phone (845) 595-6288

Other names 1

  • Today's Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1053513630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614-0 UNION VALLEY RD",
            "address_2": "#310",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "07480",
            "telephone_number": "845-595-6288",
            "fax_number": "845-595-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OMNI CT",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565211",
            "telephone_number": "845-634-5925",
            "fax_number": "845-634-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENTLE JADE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "WAI KEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-595-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.