Magic Dental NJ PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI21220 Issued in NJ

Legal business name

MAGIC DENTAL NJ PC

Practice address

1716 Route 27 FL 2
Edison, NJ 08817-3449

Phone

(732) 985-8882

Fax

(732) 985-8883

NPI assigned

Dec 28, 2006

Last updated

Jan 30, 2008By 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. Yan Ma, DDS

Title

President

Phone

(732) 985-8882

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1184780777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 ROUTE 27 FL 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173449",
            "telephone_number": "732-985-8882",
            "fax_number": "732-985-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 ROUTE 27 FL 2",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173449",
            "telephone_number": "732-985-8882",
            "fax_number": "732-985-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC DENTAL NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-985-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI21220",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DZ02296100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Macher, M.D.
• Praneeth Madabhushi, M.D.
• Srinivasu Maddula, PHARM D.
• Peymon Madi, DO
• Benjamin Madsen, PSYD
• Ram Mahato
• Elizabeth Mahfoud, MSW, LCSW
• Mohamed Mahmoud, DPT
• Michael J Mahoney, MD
• Mahzuz Corp

• General Practice Dentistry in Edison, NJ
• Providers in Edison, 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 Jan 30, 2008; 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.