Organization Active NPI

JPW Dental LLC

  • Dentist
  • Fort Lee, NJ
National Provider Identifier
1407216674
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02586600 Issued in NJ
Legal business name
JPW DENTAL LLC
Practice address
1625 Anderson Ave
Ste 302
Fort Lee, NJ 07024-2748
Phone
(201) 585-0847
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Mei Wang
Title
Office Manager
Phone
(201) 585-0847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22DI02586600 NJ Primary

Addresses

Primary practice location

1625 Anderson Ave
Ste 302
Fort Lee, NJ 07024-2748

Mailing address

1625 Anderson Ave Ste 302
Fort Lee, NJ 07024-2748
Phone (201) 585-0847

National Provider Directory

National Provider Directory

Locations

1625 Anderson Ave
Ste 302
Fort Lee, NJ 07024
Phone (201) 585-0847

Practitioners & affiliated clinicians

Practitioners 5

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": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1407216674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ANDERSON AVE STE 302",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242748",
            "telephone_number": "201-585-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ANDERSON AVE",
            "address_2": "STE 302",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242748",
            "telephone_number": "201-585-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPW DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MEI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-585-0847"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02586600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.