Jersey Shore Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DI 21284 Issued in NJ

Legal business name

JERSEY SHORE DENTAL CENTER

Practice address

1820 Corlies Ave
Suite 8
Neptune, NJ 07755

Phone

(732) 774-5772

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By 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. Khaled Eldin, DDSNPI 1720143415

Title

Prisedent

Phone

(732) 774-5772

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.

• Khaled Eldin, DDS

  • Dentist
  • Old Bridge, NJ
  • NPI 1720143415
  NPD (past) Authorized official

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1205074457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 CORLIES AVE",
            "address_2": "SUITE 8",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-774-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CORLIES AVE",
            "address_2": "SUITE 8",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-774-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "ELDIN",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "PRISEDENT",
        "authorized_official_telephone_number": "732-774-5772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI 21284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanshika Jain, MD
• Kamayel Jaludi, DO
• Nathalie Jean-Noel, MD
• Nicole Patricia Jenkins, DO
• Jersey Shore Anesthesiology Associates PA
• Jersey Shore Dental Group PA
• Jersey Shore Imaging, LLC
• Jersey Shore Monmouth County Associates
• Jersey Shore Neurology Associates, P.a.
• Jersey Shore Psychiatric Associates, P.C.

• Dental Clinic/Center in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.