SS Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI19834 Issued in NJ

Legal business name

SS DENTAL

Practice address

162 Newark Ave
Jersey City, NJ 07302-2814

Phone

(201) 434-0919

Fax

(201) 434-1453

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Blair Adam Schachtel, DMD

Title

President

Phone

(201) 434-0919

Specialties & licenses 1

Addresses

Other names 1

• jersey city dental Doing business as

Locations

Practitioners 1

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

• Sadredine Shadman, DMD

  • Dentist
  • Yonkers, NY
  • NPI 1871775312

  General Practice

  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639296643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022814",
            "telephone_number": "201-434-0919",
            "fax_number": "201-434-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022814",
            "telephone_number": "201-434-0919",
            "fax_number": "201-434-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHACHTEL",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-434-0919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI19834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jersey city dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Monica Spurrier, LPC, LCADC
• Srha Med LLC
• Sri Srinivasa Pharma Inc
• Sriniketh Srinivasa, DMD
• Sahana Sriram, LMHC LP
• St Andrew Pharmacy LLC
• St Kerollos Pharmacy Inc.
• St Mark Home Care LLC
• St Mary & St Moses Pharmacy
• St Mary Women Care

• General Practice Dentistry in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.