Jersey Shore Dental Spa LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JERSEY SHORE DENTAL SPA LLC

Practice address

613 Hope Road Building 5
Eatontown, NJ 07724

Phone

(732) 770-1239

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Marc Aaron Christy, DMDNPI 1235655234

Title

Owner Dentist

Phone

(732) 770-1239

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Aaron Christy, DMD

  • Dentist
  • Marlboro, NJ
  • NPI 1235655234
  NPD Authorized official

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1649745589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MAIN ST APT 2",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077195141",
            "telephone_number": "732-770-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 HOPE ROAD BUILDING 5",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-770-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE DENTAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "CHRISTY",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "732-770-1239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Trembley Rnfa LLC
• Vipreet Janjua, MD
• Stephanie Nicole Jaramillo, COTA
• Thereze Marie Javelosa
• Andrea R. Jaworski
• Jersey Shore Internal Medicine and Family Practice Associates PC
• Jeteye Inc (Pearle Vision)
• Christine Jimenez
• Ray Jimenez
• John Clemente MD LLC

• General Practice Dentistry in Eatontown, NJ
• Providers in Eatontown, 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 Oct 8, 2018; 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.