Crystal Smiles, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CRYSTAL SMILES, LLC

Practice address

65 Rues LN
East Brunswick, NJ 08816-4240

Phone

(732) 257-4444

Fax

(732) 257-9799

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tejal Darji, DMDNPI 1720452105

Title

Dentist

Phone

(732) 257-4444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tejal Darji, DMD

  • Dentist
  • Long Branch, NJ
  • NPI 1720452105
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1609352012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164240",
            "telephone_number": "732-257-4444",
            "fax_number": "732-257-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164240",
            "telephone_number": "732-257-4444",
            "fax_number": "732-257-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "DARJI",
        "authorized_official_first_name": "TEJAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-257-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory James Cruz, PT, DPT
• Jaclyn Cruz, LSW
• Jennifer Aragon Cruz
• Jessica Marie Cruz, LSW
• Crystal Optometric Eyecare, P.C.
• Marcella Cudjoe, APN
• Shanique Curry
• Cole John Cusanelli, PT, DPT
• Custom Eyes LLC
• Customize Me, LLC.

• Dentist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.