Active NPI
Beam Orthodontics JC, PC
- General Practice Dentistry
- Jersey City, NJ
National Provider Identifier
1336826882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BEAM ORTHODONTICS JC, PC
- Practice address
- 351 Martin Blvd
Jersey City, NJ 07302 - Phone
- (201) 509-1032
- NPI assigned
- Jun 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hassan M Khan, ORTHODONTICS
- Title
- Owner
- Phone
- (201) 509-1032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
351 Martin Blvd
Jersey City, NJ 07302
Mailing address
P.O Box #1238
Fort Lee, NJ 07024
Other names 1
- Beam St JC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1336826882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX #1238",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "07024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 MARTIN BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07302",
"telephone_number": "201-509-1032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAM ORTHODONTICS JC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "HASSAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-509-1032",
"authorized_official_credential": "ORTHODONTICS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beam St JC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.