Jordan M. Alter, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

16475 Issued in NJ

Legal business name

JORDAN M. ALTER, D.D.S.

Practice address

803 Kennedy Blvd
Bayonne, NJ 07002-2810

Phone

(201) 339-6604

Fax

(201) 339-2340

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Maria Bugliaro, R.D.H.

Title

Office Manager

Phone

(201) 339-6604

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan M. Alter, D.D.S.

  • General Practice Dentistry
  • Bayonne, NJ
  • NPI 1366576878
  NPD (past)
• Alissa Selevan, D.M.D.

  • Dentist
  • Bayonne, NJ
  • NPI 1730443250
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306907068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022810",
            "telephone_number": "201-339-6604",
            "fax_number": "201-339-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022810",
            "telephone_number": "201-339-6604",
            "fax_number": "201-339-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN M. ALTER, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUGLIARO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-339-6604",
        "authorized_official_credential": "R.D.H."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "16475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.