Organization Active NPI

Montgomery Greene Dental

  • Dentist
  • Jersey City, NJ
National Provider Identifier
1376797068
Registry record updated Nov 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02264800 Issued in NJ
Legal business name
MONTGOMERY GREENE DENTAL
Practice address
105 Greene St
Suite 1B
Jersey City, NJ 07302-3848
Phone
(201) 204-0737
NPI assigned
Nov 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2008

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

Authorized official

Name
Dr. Lana Bunis, DDS
Title
Owner
Phone
(201) 204-0737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 22DI02264800 NJ Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 22DI02203700 NJ

Addresses

Primary practice location

105 Greene St
Suite 1B
Jersey City, NJ 07302-3848

Mailing address

105 Greene St
Suite 1B
Jersey City, NJ 07302-3848
Phone (201) 204-0737

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226102400000",
    "number": "1376797068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GREENE ST",
            "address_2": "SUITE 1B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023848",
            "telephone_number": "201-204-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREENE ST",
            "address_2": "SUITE 1B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023848",
            "telephone_number": "201-204-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY GREENE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-08",
        "last_updated": "2008-11-08",
        "status": "A",
        "authorized_official_last_name": "BUNIS",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-204-0737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02264800",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02203700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

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