Organization Active NPI

JC Oral Health Care PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Jersey City, NJ
National Provider Identifier
1124598230
Registry record updated Dec 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
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

Updated by the provider on Dec 1, 2018

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.