Justbabyteeth Pediatric Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JUSTBABYTEETH PEDIATRIC DENTISTRY LLC

Practice address

1086 Teaneck Rd Ste 3D
Teaneck, NJ 07666-4858

Phone

(646) 203-6960

NPI assigned

Apr 28, 2023

Organization subpart

No

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

Authorized official

Name

Jimmy Shak, DDSNPI 1285132530

Title

Dentist

Phone

(646) 203-6960

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.

• Jimmy Shak

  • Pediatric Dentistry
  • Old Bridge, NJ
  • NPI 1285132530
  NPD Authorized official

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1295423952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ROBERTS CT",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD STE 3D",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664858",
            "telephone_number": "646-203-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTBABYTEETH PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "SHAK",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "646-203-6960",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ratna Joshi-Nelson
• Justin Joy, MD
• Joys of Life Home Health Care
• Kelsey Joy Jug, APRN
• Khalid Jumean, MD
• Jason Juxon-Smith
• Jacob Kafka
• Steven M. Kagedan, ED.D.
• Chana Kahn, LCSW
• Shulamit Kahn, LMSW

• Dental Clinic/Center in Teaneck, NJ
• Providers in Teaneck, 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 Apr 28, 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.