NPIMap

Organization Active NPI

Univ of Med & Dent of NJ

  • Dental Clinic/Center
  • Newark, NJ
National Provider Identifier
1194078709
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UNIV OF MED & DENT OF NJ
Practice address
110 Bergen Street
Newark, NJ 07101-1709
Phone
(973) 972-8251
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Dr. Junad Khan, BS,BDS, MSD,MPH
Title
Assistant Professor
Phone
(201) 238-4248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

110 Bergen Street
Newark, NJ 07101-1709

Mailing address

110 Bergen St
Newark, NJ 07103-2495
Phone (973) 972-8251

National Provider Directory

National Provider Directory
Tax ID family
University of Medicine and Dentistry of NJ26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1194078709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032495",
            "telephone_number": "973-972-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BERGEN STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071011709",
            "telephone_number": "973-972-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIV OF MED & DENT OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JUNAD",
        "authorized_official_title_or_position": "ASSISTANT PROFESSOR",
        "authorized_official_telephone_number": "201-238-4248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BS,BDS, MSD,MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.