Organization Active NPI

Dental Group of East Brunswick

  • Oral and Maxillofacial Surgery (Dentist)
  • East Brunswick, NJ
National Provider Identifier
1366875528
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI2208200 Issued in NJ
Legal business name
DENTAL GROUP OF EAST BRUNSWICK
Practice address
385 Cranbury Rd
East Brunswick, NJ 08816-3000
Phone
(732) 254-0033
Fax
(732) 238-8869
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Nahel Yanni, D.D.SNPI 1649487968
Title
Dentist
Phone
(732) 254-0033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 22DI2208200 NJ Primary

Addresses

Primary practice location

385 Cranbury Rd
East Brunswick, NJ 08816-3000

Mailing address

385 Cranbury Rd
East Brunswick, NJ 08816-3000
Phone (732) 254-0033

National Provider Directory

National Provider Directory

Locations

385 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 238-3700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1366875528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163000",
            "telephone_number": "732-254-0033",
            "fax_number": "732-238-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 CRANBURY RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163000",
            "telephone_number": "732-254-0033",
            "fax_number": "732-238-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF EAST BRUNSWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "YANNI",
        "authorized_official_first_name": "NAHEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-254-0033",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI2208200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.