Advance Endodontic Associates, PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DI 08858 Issued in NJ

Legal business name

ADVANCE ENDODONTIC ASSOCIATES, PA

Practice address

1398 State Route 35
Ocean, NJ 07712-3543

Phone

(732) 531-9200

Fax

(732) 531-3006

NPI assigned

Jul 31, 2006

Last updated

Aug 22, 2020By 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. Ira J. Zohn, D.M.D.NPI 1871718254

Title

President

Phone

(732) 531-9200

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.

• Ira J. Zohn, D.M.D.

  • Endodontics
  • Ocean, NJ
  • NPI 1871718254
  Authorized official Same address or phone

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184639619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 STATE ROUTE 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123543",
            "telephone_number": "732-531-9200",
            "fax_number": "732-531-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 STATE ROUTE 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123543",
            "telephone_number": "732-531-9200",
            "fax_number": "732-531-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ENDODONTIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZOHN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-531-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "DI 08858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.