Jorge O Cordova Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI-19630 Issued in NJ

Legal business name

JORGE O CORDOVA INC

Practice address

272 US Highway 46
Rockaway, NJ 07866-3826

Phone

(973) 627-2121

Fax

(973) 627-2088

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jorge O Cordova, D.M.DNPI 1548341886

Title

Owner

Phone

(973) 627-2121

Specialties & licenses 1

Addresses

Other names 1

• J C Dental Doing business as

Locations

Practitioners 2

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

• Jorge O Cordova, D.M.D

  • General Practice Dentistry
  • Rockaway, NJ
  • NPI 1548341886
  NPD (past) Authorized official
• Jonnathan Matute, DMD

  • General Practice Dentistry
  • Rockaway, NJ
  • NPI 1366070351
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063593358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 US HIGHWAY 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663826",
            "telephone_number": "973-627-2121",
            "fax_number": "973-627-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 US HIGHWAY 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663826",
            "telephone_number": "973-627-2121",
            "fax_number": "973-627-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE O CORDOVA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-627-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI-19630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J C Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gandimathi Jeyabalan
• Jill Saxon OD LLC
• Kylie Ann Jimenez, FNP-C
• Weimin Jin, DMD
• Ashley Johnson, LSW
• Carmel Sabrina Joseph
• Chloe Jules
• Michele Kaczmarek, LPC, ACS
• Elizabeth Sophie Kaelin, MS, RD
• Kunal Kanani, PHARM.D

• General Practice Dentistry in Rockaway, NJ
• Providers in Rockaway, 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 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.