Active NPI
Jeremy Krell, D.M.D.
- General Practice Dentistry
- Jersey City, NJ
National Provider Identifier
1528446952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019029697
- Practice address
- 175 Newark Ave
Suite 2B
Jersey City, NJ 07302-2859 - Phone
- (908) 370-2531
- NPI assigned
- May 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019029697 | IL | Primary |
Addresses
Primary practice location
175 Newark Ave
Suite 2B
Jersey City, NJ 07302-2859
Mailing address
30 Regent St
Apt 109
Jersey City, NJ 07302-7346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029697 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1528446952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 REGENT ST",
"address_2": "APT 109",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073027346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 NEWARK AVE",
"address_2": "SUITE 2B",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022859",
"telephone_number": "908-370-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRELL",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-18",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019029697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.