Central Jersey Periodontics & Implant

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11209 Issued in NJ

Legal business name

CENTRAL JERSEY PERIODONTICS & IMPLANT

Practice address

177 Main St
East Brunswick, NJ 08816

Phone

(732) 257-6500

Fax

(732) 257-6531

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lucian L Kahan, DDSNPI 1720169618

Title

Periodontist

Phone

(732) 257-6500

Specialties & licenses 2

Addresses

Other names 1

• Lucian L Kahan DDS PA Former legal business name

Locations

Practitioners 2

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

• Lucian L Kahan, DDS

  • Periodontics
  • East Brunswick, NJ
  • NPI 1720169618
  NPD (past) Authorized official
• David M Stein, DMD MS

  • Periodontics
  • Dover, NJ
  • NPI 1902937659
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1366645913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MAIN ST",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-257-6500",
            "fax_number": "732-257-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MAIN ST",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "732-257-6500",
            "fax_number": "732-257-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY PERIODONTICS & IMPLANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "KAHAN",
        "authorized_official_first_name": "LUCIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "732-257-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "11209",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "220I02166200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucian L Kahan DDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Jayson Iporac Ceribo, PT
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• Esha Chabra, LAC

• Periodontics in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.