Jr Ny Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JR NY DENTAL PC

Practice address

1196 Lexington Ave
New York, NY 10028-1405

Phone

(551) 999-2226

Fax

(908) 926-2636

NPI assigned

Sep 20, 2019

Organization subpart

Yes

Parent organization

JR NY DENTAL PCAs reported in NPPES

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

Authorized official

Name

Dr. Jeffrey Ben Rappaport, DDS

Title

Owner/Dental Director

Phone

(551) 999-2226

Specialties & licenses 1

Addresses

Other names 1

• HENRY The Dentist Doing business as

Part of

Jr Ny Dental PC

Locations

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1053962191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 MOUNTAIN AVE STE 310",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741240",
            "telephone_number": "551-999-2226",
            "fax_number": "908-926-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281405",
            "telephone_number": "551-999-2226",
            "fax_number": "908-926-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR NY DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JR NY DENTAL PC",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "OWNER/DENTAL DIRECTOR",
        "authorized_official_telephone_number": "551-999-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY The Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.