Meenakshi Jetley, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DIO2422700 Issued in NJ

Practice address

405 Northfield Ave
Suite #LL4
West Orange, NJ 07052-3023

Phone

(862) 245-2170

Fax

(973) 618-1558

NPI assigned

Dec 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1260662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1174852644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NORTHFIELD AVE",
            "address_2": "SUITE #LL4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523026",
            "telephone_number": "862-245-2170",
            "fax_number": "973-618-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NORTHFIELD AVE",
            "address_2": "SUITE #LL4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523023",
            "telephone_number": "862-245-2170",
            "fax_number": "973-618-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETLEY",
        "first_name": "MEENAKSHI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-13",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO2422700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kensy Jean, DC,MSACN
• Yanick E Jean, PMHNP
• Odler Jeanlouie, MD
• Elizabeth Ann Jehle, CPNP-PC
• Jerry Transport Service
• Jewish Service for the Developmentally Disabled
• Jewish Service for the Developmentally Disabled
• Jewish Service for the Developmentally Disabled
• Jewish Service for the Developmentally Disabled
• Jewish Service for the Developmentally Disabled

• General Practice Dentistry in West Orange, NJ
• Providers in West Orange, 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 Dec 10, 2010; 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.