Active NPI
P&S Dental
Doing business as Jersey City Dental
- Dentist
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2377100
- Legal business name
- P&S DENTAL
- Doing business as
- Jersey City Dental
- Practice address
- 178 Newark Ave
Jersey City, NJ 07302-5864 - Phone
- (201) 332-0403
- Fax
- (201) 332-7364
- NPI assigned
- Apr 15, 2014
- Last updated
- Apr 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew S Paek, DDS
- Title
- Manager
- Phone
- (917) 583-6646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2377100 | NJ | Primary |
Addresses
Primary practice location
178 Newark Ave
Jersey City, NJ 07302-5864
Mailing address
178 Newark Ave
Jersey City, NJ 07302-5864
Phone (201) 332-0403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942456793 | Other | NJ | NPI |
Other names 1
- Jersey City Dental
National Provider Directory
National Provider Directory- Tax ID family
- Jersey City Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
178 Newark Ave
Jersey City, NJ 07302
Phone (201) 332-0403
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Dentist
- Jersey City, NJ
- NPI 1942456793
-
- General Practice Dentistry
- Jersey City, NJ
- NPI 1255475430
-
- Dentist
- Jersey City, NJ
- NPI 1700132883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397520000000",
"number": "1518386705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 NEWARK AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073025864",
"telephone_number": "201-332-0403",
"fax_number": "201-332-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 NEWARK AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073025864",
"telephone_number": "201-332-0403",
"fax_number": "201-332-7364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P&S DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A",
"authorized_official_last_name": "PAEK",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "917-583-6646",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "2377100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1942456793",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jersey City Dental",
"code": "3",
"type": "Doing Business As"
}
]
}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 Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.