Organization Active NPI

Prosthodontic Associates of New Jersey Professional Association

  • Prosthodontics
  • Edison, NJ
National Provider Identifier
1659710473
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI02350900 Issued in NJ
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

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Dr. Yatin Khanna, DDSNPI 1205049707
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)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.