Shore Endodontics of Sea Girt PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22DI02077300 Issued in NJ

Legal business name

SHORE ENDODONTICS OF SEA GIRT PA

Practice address

2130 Highway 35
Sea Girt, NJ 08750-1010

Phone

(732) 893-8600

Fax

(732) 359-6165

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Rajeev Gupta, D.D.S.

Title

Endodontist

Phone

(732) 349-9222

Specialties & licenses 1

Addresses

Other names 1

• Shore Endodontics Doing business as

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1669892709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-893-8600",
            "fax_number": "732-359-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501010",
            "telephone_number": "732-893-8600",
            "fax_number": "732-359-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE ENDODONTICS OF SEA GIRT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "732-349-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02077300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sea Girt Dental Associates, L.L.C.
• Seaview Medical Associates, LLC
• Serene Counseling Services, LLC
• Sonam Shah, DPT, MBA
• Tarun J Shah, M.D.
• Shore Family Counseling
• Shore Geriatrics, LLC
• Shore Orthopedic & Athletic Rehabilitation, PA
• Shore Perinatal Associates
• Shore Spine & Sport Physical Therapy, LLC

• Endodontics in Sea Girt, NJ
• Providers in Sea Girt, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.