NPIMap

Organization Active NPI

Community Hospital Group, Inc.

  • General Practice Dentistry
  • Edison, NJ
National Provider Identifier
1285834069
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22293 Issued in NJ
Legal business name
COMMUNITY HOSPITAL GROUP, INC.
Practice address
80 James St
4TH Floor
Edison, NJ 08820-3938
Phone
(732) 321-7000
Fax
(732) 632-1644
NPI assigned
Jul 20, 2007
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Miss Toni Augustine
Title
Director Billing Services
Phone
(732) 321-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22293 NJ Primary

Addresses

Primary practice location

80 James St
4TH Floor
Edison, NJ 08820-3938

Mailing address

80 James St
4TH Floor
Edison, NJ 08820-3938
Phone (732) 321-7000

Other identifiers 1

IdentifierTypeStateIssuer
3676811MedicaidNJ

Other names 1

  • JFK Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Hosp GRP Inc7 organizations share this tax ID, including this one
Part of
Community Hosp GRP Inc

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1285834069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JAMES ST",
            "address_2": "4TH FLOOR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203938",
            "telephone_number": "732-321-7000",
            "fax_number": "732-632-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JAMES ST",
            "address_2": "4TH FLOOR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203938",
            "telephone_number": "732-321-7000",
            "fax_number": "732-632-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITAL GROUP, INC.",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINE",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "DIRECTOR BILLING SERVICES",
        "authorized_official_telephone_number": "732-321-7000",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3676811",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JFK Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.