Organization Active NPI

Henry the Dentist 1 New Jersey P.a.

  • Dentist
  • New Providence, NJ
National Provider Identifier
1376194415
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HENRY THE DENTIST 1 NEW JERSEY P.A.
Doing business as
HENRY The Dentist
Practice address
890 Mountain Ave Ste 310
New Providence, NJ 07974-1240
Phone
(551) 999-2226
Fax
(908) 926-2636
NPI assigned
Sep 20, 2019
Organization subpart
Yes
Parent organization
HENRY THE DENTIST 1 NEW JERSEY P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Dr. Jeffrey Ben Rappaport, DDS
Title
Owner/Dental Director
Phone
(551) 999-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

890 Mountain Ave Ste 310
New Providence, NJ 07974-1240

Mailing address

890 Mountain Ave Ste 310
New Providence, NJ 07974-1240
Phone (551) 999-2226

Other names 1

  • HENRY The Dentist Doing business as

National Provider Directory

National Provider Directory
Part of
Henry the Dentist 1 New Jersey PA

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1376194415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 MOUNTAIN AVE STE 310",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741240",
            "telephone_number": "551-999-2226",
            "fax_number": "908-926-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 MOUNTAIN AVE STE 310",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741240",
            "telephone_number": "551-999-2226",
            "fax_number": "908-926-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY THE DENTIST 1 NEW JERSEY P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY THE DENTIST 1 NEW JERSEY P.A.",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "OWNER/DENTAL DIRECTOR",
        "authorized_official_telephone_number": "551-999-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY The Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.