Jonathan Dental Spa at the Center for Cosmetic & Implant Dentistry LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JONATHAN DENTAL SPA AT THE CENTER FOR COSMETIC & IMPLANT DENTISTRY LLC

Doing business as

Jonathan Dental Spa

Practice address

1111 Goffle Rd
Hawthorne, NJ 07506-2025

Phone

(973) 423-4460

NPI assigned

Feb 15, 2022

Last updated

Feb 15, 2022By 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

Jonathan Abenaim, DMDNPI 1578617528

Title

Owner

Phone

(973) 423-4460

Specialties & licenses 2

Addresses

Other names 1

• Jonathan Dental Spa Doing business as

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.

• Jonathan M Abenaim, DMD

  • Dentist
  • Hawthorne, NJ
  • NPI 1578617528
  NPD (past) Authorized official

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1295480663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GOFFLE RD",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GOFFLE RD",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062025",
            "telephone_number": "973-423-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN DENTAL SPA AT THE CENTER FOR COSMETIC & IMPLANT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "ABENAIM",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-423-4460",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane L. Jager, D.M.D
• Edward Janiga, O.D.
• Kamlesh Jethani, DDS
• Joan Van Raalte D.M.D.,PC
• Sandra Sytsma Johnson, LCSW
• Joseph W. Montagnino, Mdpa
• Kusum L Kansal, RD,CDE
• Katalyst Performance and Rehabilitation LLC
• Hardeep Kaur, DPT
• Mone'T Alexia Kendall-Turner, LAC

• Oral and Maxillofacial Surgery (Dentist) in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.