Midjersey Smiles LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02383502 Issued in NJ

Legal business name

MIDJERSEY SMILES LLC

Practice address

1447 Route 18
Old Bridge, NJ 08857

Phone

(732) 727-0895

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Kuma Kalaria

Title

Partner

Phone

(732) 727-0895

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1609314962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 ROUTE 18",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-727-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 ROUTE 18",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "08857",
            "telephone_number": "732-727-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDJERSEY SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "KALARIA",
        "authorized_official_first_name": "KUMA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-727-0895"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02406100",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02383502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PROVIDER",
            "identifier": "1750616389",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE PROVIDER",
            "identifier": "1053577833",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward T Mezic, MD
• Michael Schmierer DPM LLC
• Middlesex County Improvement Authority
• Middlesex Hospital Physicians, P.a.
• John R Middleton, MD
• Monica Mikhail
• Britta Millan, PA-C
• Victoria Miller-Butcher, LCSW
• Briana Miller
• Jessica Schutzbank Miller, MD

• Dentist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.