Kearny Ave Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KEARNY AVE DENTAL LLC

Practice address

242 Kearny Ave
Kearny, NJ 07032-2505

Phone

(201) 955-2500

NPI assigned

May 16, 2022

Last updated

Apr 5, 2023By 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

Michael E. Skolnick, DMD

Title

Ceo

Phone

(201) 955-2500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1265179816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322505",
            "telephone_number": "201-955-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNY AVE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "SKOLNICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-955-2500",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Christopher Johnson, MA, LPC, NCC
• Joseph Lammens OD PA
• Victoria Josifovski
• Karunanayake Karunanayake
• Subhathra Karunanithi, M.D
• Kearny Ave Dental Spec LLC
• Kearny Board of Education
• Kearny Dental Arts
• Kearny Dental Associates
• Kearny Dental Care PC

• Dentist in Kearny, NJ
• Providers in Kearny, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.