Haven Dental Group, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAVEN DENTAL GROUP, PC

Practice address

351 Marin Blvd
Jersey City, NJ 07302

Phone

(201) 509-1032

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

Charles Wei, DDS

Title

Owner

Phone

(201) 509-1032

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1396456273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX #1118",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MARIN BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-509-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "WEI",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-509-1032",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Harvey
• Ahmed Hasan
• Mustafa Hasan
• Alexandra Hauser, APN
• Haven Adolescent Community Respite Center
• Naji Hawawini, DPM
• Hawn Dialysis LLC
• Jorelle Hayes
• Myrna S Haynes-Poole
• HC Anesthesia Services Professional Corporation

• General Practice Dentistry in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.