Enrique Giralt Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DI18006 Issued in NJ

Practice address

706 RT 15 South
Ste 101
Lake Hopatcong, NJ 07849

Phone

(973) 663-0990

Fax

(973) 663-6166

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jefferson Family Dentistry

  • Dental Clinic/Center
  • Lake Hopatcong, NJ
  • NPI 1346450913
  NPD (past) Authorized official
• Sarwat Zaffer DDS LLC

  • Dentist
  • Lake Hopatcong, NJ
  • NPI 1942147848
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073616686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PONDEROSA TRAIL",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "07871",
            "telephone_number": "973-383-6083",
            "fax_number": "973-663-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 RT 15 SOUTH",
            "address_2": "STE 101",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "07849",
            "telephone_number": "973-663-0990",
            "fax_number": "973-663-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRALT",
        "first_name": "ENRIQUE",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI18006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresh Emporium Food Market, Corp
• Terri Fuller, APN
• Iraida Garcia
• Justin Genovese
• Shaquenia Gibbs
• Bret Hartman, D.C.
• Tami Hartman, D.C.
• Gregory John Hunadi, RPH
• Ipediatrics
• Jefferson Drugs LLC

• Dentist in Lake Hopatcong, NJ
• Providers in Lake Hopatcong, NJ by specialty
• Dentist in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.