Garden State Healthy Smile PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GARDEN STATE HEALTHY SMILE PC

Practice address

170 Morris Ave Ste a
Long Branch, NJ 07740-6660

Phone

(732) 728-7075

Fax

(732) 728-0337

NPI assigned

Nov 15, 2017

Last updated

Nov 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Namik YusufovNPI 1144304932

Title

Provider

Phone

(732) 728-7075

Specialties & licenses 1

Addresses

Locations

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.

• Namik Yusufov, DDS

  • Dentist
  • Long Branch, NJ
  • NPI 1144304932
  NPD (past) Authorized official

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1174036990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MORRIS AVE STE A",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406660",
            "telephone_number": "732-728-7075",
            "fax_number": "732-728-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MORRIS AVE STE A",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406660",
            "telephone_number": "732-728-7075",
            "fax_number": "732-728-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE HEALTHY SMILE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "YUSUFOV",
        "authorized_official_first_name": "NAMIK",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "732-728-7075",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Marie Franco, PHARMD
• Susan R Friedman, MD
• Jake Frontera
• Linda L Gabriel, CRNA
• Sai Rakshith Gaddameedi
• Garden State Women's Imaging LLC
• Lisa A Garzone, APN
• Lisa Dawn Gastan, CRNP
• George E Gdovin, PHARMD
• Matthew Al Geller, MD

• General Practice Dentistry in Long Branch, NJ
• Providers in Long Branch, 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 Nov 15, 2017; 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.