Suzana Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI19690 Issued in NJ

Legal business name

SUZANA DENTAL OFFICE

Practice address

134 Ocean Ave
Jersey City, NJ 07305

Phone

(201) 536-1443

Fax

(201) 536-1498

NPI assigned

May 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aracelys ReyesNPI 1861546053

Title

General Dentist

Phone

(201) 536-1443

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aracelys Reyes, DDS

  • General Practice Physician
  • Jersey City, NJ
  • NPI 1861546053
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518171875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 OCEAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07305",
            "telephone_number": "201-536-1443",
            "fax_number": "201-536-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 OCEAN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07305",
            "telephone_number": "201-536-1443",
            "fax_number": "201-536-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANA DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ARACELYS",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "201-536-1443"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI19690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varsha Vallapuzha Suresh
• Surgicare Surgical Associates of Jersey City, LLC
• Surgicore of Jersey City, LLC.
• Anabelle Susser
• Adrienne Louise Suydam, MPT
• SV Pharma Inc (Peckman's Pharmacy)
• Joyce Swain, LCSW
• Margaret Switaj, PHARM.D.
• Raymond Teng Sy, PT
• Fathima Syed

• 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 Aug 22, 2020; 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.