Organization Active NPI

Jayati C. Bhattacharyya DDS PC

  • Dental Clinic/Center
  • Holmdel, NJ
National Provider Identifier
1063856128
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22D102331201 Issued in NJ
Legal business name
JAYATI C. BHATTACHARYYA DDS PC
Practice address
702 N Beers St Ste 3
Holmdel, NJ 07733-1510
Phone
(732) 739-3535
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Dr. Jayati C. Bhattacharyya, DDS
Title
Doctor/Owner
Phone
(732) 739-3535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22D102331201 NJ Primary

Addresses

Primary practice location

702 N Beers St Ste 3
Holmdel, NJ 07733-1510

Mailing address

702 N Beers St Ste 3
Holmdel, NJ 07733-1510
Phone (732) 739-3535

National Provider Directory

National Provider Directory

Locations

702 N Beers St
Ste 3
Holmdel, NJ 07733
Phone (732) 724-3720

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1063856128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N BEERS ST STE 3",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331510",
            "telephone_number": "732-739-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N BEERS ST STE 3",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331510",
            "telephone_number": "732-739-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYATI C. BHATTACHARYYA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "BHATTACHARYYA",
        "authorized_official_first_name": "JAYATI",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "732-739-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22D102331201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.