Active NPI
Prosthodontic Associates of New Jersey Professional Association
- Prosthodontics
- Edison, NJ
National Provider Identifier
1659710473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 22DI02350900
- Legal business name
- PROSTHODONTIC ASSOCIATES OF NEW JERSEY PROFESSIONAL ASSOCIATION
- Practice address
- 98 James St
Suite 303
Edison, NJ 08820-3902 - Phone
- (732) 494-7767
- Fax
- (866) 894-5881
- NPI assigned
- Jun 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yatin Khanna, DDS
- Title
- Ceo
- Phone
- (718) 915-3713
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 22DI02350900 | NJ | Primary |
Addresses
Primary practice location
98 James St
Suite 303
Edison, NJ 08820-3902
Mailing address
1 River CT
Apartment 2206
Jersey City, NJ 07310-2001
Phone (718) 915-3713
National Provider Directory
National Provider DirectoryLocations
98 James St
Ste 303
Edison, NJ 08820
Phone (732) 494-7767
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthodontics
- Brooklyn, NY
- NPI 1205049707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371513600000",
"number": "1659710473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RIVER CT",
"address_2": "APARTMENT 2206",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073102001",
"telephone_number": "718-915-3713",
"fax_number": "866-894-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 JAMES ST",
"address_2": "SUITE 303",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203902",
"telephone_number": "732-494-7767",
"fax_number": "866-894-5881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSTHODONTIC ASSOCIATES OF NEW JERSEY PROFESSIONAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-18",
"status": "A",
"authorized_official_last_name": "KHANNA",
"authorized_official_first_name": "YATIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-915-3713",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "22DI02350900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.