Organization Active NPI

Jason Dean, MD LLC

  • Child & Adolescent Psychiatry Physician
  • Teaneck, NJ
National Provider Identifier
1659045243
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
JASON DEAN, MD LLC
Practice address
400 Frank W Burr Blvd # 6
Teaneck, NJ 07666-6839
Phone
(201) 304-7552
NPI assigned
Aug 6, 2021
Last updated
Aug 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Jason Dean, MDNPI 1043637465
Title
Owner
Phone
(201) 304-7552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X Primary

Addresses

Primary practice location

400 Frank W Burr Blvd # 6
Teaneck, NJ 07666-6839

Mailing address

400 Frank W Burr Blvd # 6
Teaneck, NJ 07666-6839
Phone (201) 304-7552

National Provider Directory

National Provider Directory

Locations

400 Frank W Burr Blvd
#6
Teaneck, NJ 07666
Phone (201) 304-7552

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1659045243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FRANK W BURR BLVD # 6",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666839",
            "telephone_number": "201-304-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANK W BURR BLVD # 6",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666839",
            "telephone_number": "201-304-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON DEAN, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-304-7552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.