Organization Active NPI

M & a Professional Service LLC

  • Dentist
  • Elizabeth, NJ
National Provider Identifier
1114789419
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
M & A PROFESSIONAL SERVICE LLC
Practice address
1000 S Elmora Ave Ste 1E
Elizabeth, NJ 07202-3100
Phone
(908) 436-1000
Fax
(908) 436-0295
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Dr. Nan-Yi Lee, DDSNPI 1164446126
Title
General Dentist
Phone
(908) 436-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

1000 S Elmora Ave Ste 1E
Elizabeth, NJ 07202-3100

Mailing address

1000 S Elmora Ave Ste 1E
Elizabeth, NJ 07202-3100
Phone (908) 436-1000

National Provider Directory

National Provider Directory

Locations

1000 S Elmora Ave
Ste 1E
Elizabeth, NJ 07202
Phone (908) 436-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1114789419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S ELMORA AVE STE 1E",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023100",
            "telephone_number": "908-436-1000",
            "fax_number": "908-436-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ELMORA AVE STE 1E",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023100",
            "telephone_number": "908-436-1000",
            "fax_number": "908-436-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & A PROFESSIONAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "NAN-YI",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "908-436-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.