NPIMap

Organization Active NPI

Jackson Joint Ventures Limited Liability

  • General Practice Dentistry
  • Jackson, NJ
National Provider Identifier
1497904437
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1019138 Issued in NJ
Legal business name
JACKSON JOINT VENTURES LIMITED LIABILITY
Practice address
1102 Bennetts Mills Road
Jackson, NJ 08527
Phone
(732) 901-1970
Fax
(732) 901-3844
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Gregory Sclafani, DDSNPI 1083765374
Title
President
Phone
(732) 901-1970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 014621 NJ
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1019138 NJ Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1021108 NJ

Addresses

Primary practice location

1102 Bennetts Mills Road
Jackson, NJ 08527

Mailing address

1102 Bennetts Mills Road
Jackson, NJ 08527
Phone (732) 901-1970

National Provider Directory

National Provider Directory

Locations

1102 Bennetts Mills Rd
Jackson, NJ 08527
Phone (732) 901-1970

Practitioners & affiliated clinicians

Practitioners 1

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": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1497904437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 BENNETTS MILLS ROAD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "08527",
            "telephone_number": "732-901-1970",
            "fax_number": "732-901-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 BENNETTS MILLS ROAD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "08527",
            "telephone_number": "732-901-1970",
            "fax_number": "732-901-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON JOINT VENTURES LIMITED LIABILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "SCLAFANI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-901-1970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "014621",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "1019138",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "1021108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.