Jonathan a Nitche DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21571 Issued in NJ

Legal business name

JONATHAN A NITCHE DMD LLC

Practice address

556 Eagle Rock Ave
Suite 103
Roseland, NJ 07068-1503

Phone

(973) 228-5545

Fax

(973) 228-3863

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Albert Nitche, DMDNPI 1114941333

Title

Owner

Phone

(973) 228-5545

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Jonathan Albert Nitche, DMD

  • Dentist
  • Roseland, NJ
  • NPI 1114941333
  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1366616393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 EAGLE ROCK AVE",
            "address_2": "SUITE 103",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681503",
            "telephone_number": "973-228-5545",
            "fax_number": "973-228-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 EAGLE ROCK AVE",
            "address_2": "SUITE 103",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681503",
            "telephone_number": "973-228-5545",
            "fax_number": "973-228-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN A NITCHE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "NITCHE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-228-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "21571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1700974664",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114941333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Roseland, NJ
• Providers in Roseland, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.