Jennifer Mary Douedi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02975800 Issued in NJ

Practice address

1220 Hooper Ave
Toms River, NJ 08753-3324

Phone

(732) 281-8315

NPI assigned

Mar 23, 2023

Last updated

Mar 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Encore Dental of Toms River

  • General Practice Dentistry
  • Toms River, NJ
  • NPI 1225676018
  NPD

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1114620648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 CHARLTON CIR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533324",
            "telephone_number": "732-281-8315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 W Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534663",
            "country_code": "US",
            "telephone_number": "732-869-5734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUEDI",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02975800",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Marie Dorso, LAC, NCC
• Elizabeth Jane Dorso, LCSW
• Pankaj M Doshi, MD
• Ree Dotts, PHARMD
• Hani R Douedi, MD
• Steven Douedi, MD
• Dover Cardiology Center, LLC
• Dover Family Medicine, P.a.
• Dover Family Therapy
• Dover Gastroenterology, P.a.

• General Practice Dentistry in Toms River, NJ
• Providers in Toms River, 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 Mar 7, 2024; 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.