NJ Endodontics Group Jersey City LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

NJ ENDODONTICS GROUP JERSEY CITY LLC

Practice address

591 Summit Ave Ste 5
Jersey City, NJ 07306-2715

Phone

(201) 484-5404

NPI assigned

Aug 8, 2023

Last updated

Aug 8, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH JERSEY ENDODONTIC GROUP LLCAs reported in NPPES

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

Authorized official

Name

Dr. Nassim Kohly, DDS

Title

Partner

Phone

(201) 484-5404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1215610233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE 208",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395605",
            "telephone_number": "201-484-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE STE 5",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062715",
            "telephone_number": "201-484-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ ENDODONTICS GROUP JERSEY CITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH JERSEY ENDODONTIC GROUP LLC",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "KOHLY",
        "authorized_official_first_name": "NASSIM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-484-5404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NJ Behavioral Care Inc.
• NJ Chiro Wellness, LLC
• NJ Chiro-Med, LLC
• NJ Chiropractic and Physical Therapy Wellness Center LLC
• NJ Community Framily Care LLC
• NJ Golden Home Care
• NJ Health Services
• NJ Home Health Care LLC
• NJ Multi Specialty & Acute Care LLC
• NJ Optical Inc (Jonathan Marx Opticians)

• Endodontics in Jersey City, NJ
• Providers in Jersey City, 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 8, 2023; 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.