Active NPI
Cosmetic Dentistry and Implants
- Public Health Dentistry
- East Brunswick, NJ
National Provider Identifier
1659949402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- Legal business name
- COSMETIC DENTISTRY AND IMPLANTS
- Practice address
- 1070 State Route 18
East Brunswick, NJ 08816-4350 - Phone
- (732) 613-0008
- NPI assigned
- Jun 16, 2021
- 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
- Khaled G Eldin, DDS
- Title
- DDS/Dentist
- Phone
- (732) 613-0008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | Primary |
Addresses
Primary practice location
1070 State Route 18
East Brunswick, NJ 08816-4350
Mailing address
1070 State Route 18
East Brunswick, NJ 08816-4350
Phone (732) 613-0008
National Provider Directory
National Provider DirectoryLocations
1074 State Route 18
East Brunswick, NJ 08816
Phone (732) 308-9991
1070 State Route 18
East Brunswick, NJ 08816
Phone (609) 547-3232
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- East Brunswick, NJ
- NPI 1063399848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1659949402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 STATE ROUTE 18",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088164350",
"telephone_number": "732-613-0008",
"fax_number": "732-613-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 STATE ROUTE 18",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088164350",
"telephone_number": "732-613-0008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COSMETIC DENTISTRY AND IMPLANTS",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-16",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "ELDIN",
"authorized_official_first_name": "KHALED",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "DDS/DENTIST",
"authorized_official_telephone_number": "732-613-0008",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Dental Public Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.