NJ Endodontics Group Bloomfield LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

NJ ENDODONTICS GROUP BLOOMFIELD LLC

Practice address

554 Bloomfield Ave
Bloomfield, NJ 07003-3307

Phone

(973) 281-4184

NPI assigned

Aug 8, 2023

Organization subpart

Yes

Parent organization

NORTH JERSEY ENDODONTIC GROUP LLCAs reported in NPPES

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

Authorized official

Name

Dr. Nassim Kohly, DDS

Title

Partner

Phone

(201) 484-5404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1376226308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE 208",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395605",
            "telephone_number": "973-743-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033307",
            "telephone_number": "973-281-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ ENDODONTICS GROUP BLOOMFIELD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH JERSEY ENDODONTIC GROUP LLC",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "KOHLY",
        "authorized_official_first_name": "NASSIM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-484-5404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.