Jessy Ajram

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859608 Issued in MA

Practice address

2098 Commonwealth Ave
Auburndale, MA 02466-1911

Phone

(617) 964-3700

NPI assigned

Sep 15, 2022

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J.a.D. Dental LLC

  • General Practice Dentistry
  • Newton, MA
  • NPI 1982557708

  General Practice

  NPD Authorized official
• Auburndale Dental

  • Dentist
  • Auburndale, MA
  • NPI 1679724157
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 15, 2022.

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1609598713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CROSBY RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671114",
            "telephone_number": "857-352-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 COMMONWEALTH AVE",
            "city": "AUBURNDALE",
            "state": "MA",
            "postal_code": "024661911",
            "telephone_number": "617-964-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJRAM",
        "first_name": "JESSY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 24Hourshomecare, Inc
• Myra Felice Ackerman, LICSW
• Kelly Elizabeth Adams
• Jane Alter
• Robert Mark Alter, LMHC
• Lilly Ruth Anolik
• Ashleyhowardlmft, LLC
• Auburndale Dental

• All providers in Auburndale, MA
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.