Active NPI
JC Oral Health Care PA
- Oral and Maxillofacial Surgery (Dentist)
- Jersey City, NJ
National Provider Identifier
1124598230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- JC ORAL HEALTH CARE PA
- Practice address
- 103 Greene St FL 2
Jersey City, NJ 07302-3868 - Phone
- (201) 332-0003
- Fax
- (201) 266-4686
- NPI assigned
- Dec 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Jung
- Title
- Manager
- Phone
- (201) 332-0003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
103 Greene St FL 2
Jersey City, NJ 07302-3868
Mailing address
103 Greene St FL 2
Jersey City, NJ 07302-3868
Phone (201) 332-0003
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543622400000",
"number": "1124598230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 GREENE ST FL 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023868",
"telephone_number": "201-332-0003",
"fax_number": "201-266-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 GREENE ST FL 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073023868",
"telephone_number": "201-332-0003",
"fax_number": "201-266-4686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JC ORAL HEALTH CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-01",
"last_updated": "2018-12-01",
"status": "A",
"authorized_official_last_name": "JUNG",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "201-332-0003"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.