Individual provider Active NPI

Justin Ian Garrel, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Plainfield, NJ
National Provider Identifier
1164005773
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI02904400 Issued in NJ
Practice address
911 Oak Tree Ave Ste C
South Plainfield, NJ 07080-5130
Phone
(908) 222-8228
NPI assigned
May 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI02904400 NJ Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 07589 NJ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 062922-01 NY

Addresses

Primary practice location

911 Oak Tree Ave Ste C
South Plainfield, NJ 07080-5130

Mailing address

5 Drummond Ter
Livingston, NJ 07039-1103

Other practice location 1

191 E Hanover Ave
Morristown, NJ 07960-3183
Phone (862) 260-4010

Other practice location 2

14-23 River Rd
Fair Lawn, NJ 07410-1240
Phone (201) 797-4400

Other practice location 3

4 W Main St
Denville, NJ 07834-2131
Phone (973) 366-2244

Other practice location 4

17 Summit Ave
Hackensack, NJ 07601-1218
Phone (201) 996-0770

Other practice location 5

39 Nathaniel Pl
Englewood, NJ 07631-2736
Phone (551) 501-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
07589NJMDOrthodontics and Dentofacial Orthopedic Dentist
22DI02904400NJMDOrthodontics and Dentofacial Orthopedic Dentist
062922-01NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Braces Edison Orthodontics and Dentofacial Orthopedics PastSince Aug 17, 2025 Accepting new patients
Diamond Braces Dover Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1164005773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DRUMMOND TER",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 OAK TREE AVE STE C",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805130",
            "telephone_number": "908-222-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 E Hanover Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079603183",
            "country_code": "US",
            "telephone_number": "862-260-4010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14-23 River Rd",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074101240",
            "country_code": "US",
            "telephone_number": "201-797-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 W Main St",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "078342131",
            "country_code": "US",
            "telephone_number": "973-366-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011218",
            "country_code": "US",
            "telephone_number": "201-996-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Nathaniel Pl",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076312736",
            "country_code": "US",
            "telephone_number": "551-501-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARREL",
        "first_name": "JUSTIN",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-02",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02904400",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "07589",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "062922-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; 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.