Organization Active NPI

NJ Endodontics Group Paramus LLC

  • Endodontics
  • Paramus, NJ
National Provider Identifier
1679256697
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
NJ ENDODONTICS GROUP PARAMUS LLC
Practice address
140 N Rte 17 Ste 270
Paramus, NJ 07652-2816
Phone
(201) 244-4040
NPI assigned
Aug 8, 2023
Organization subpart
Yes
Parent organization
NORTH JERSEY ENDODONTIC GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Dr. Nassim Kohly, DDS
Title
Partner
Phone
(201) 484-5404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

140 N Rte 17 Ste 270
Paramus, NJ 07652-2816

Mailing address

22 Old Short Hills Rd Ste 208
Livingston, NJ 07039-5605
Phone (201) 484-5404

National Provider Directory

National Provider Directory

Locations

140 N Route 17
Ste 270
Paramus, NJ 07652
Phone (201) 244-4040

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1679256697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD SHORT HILLS RD STE 208",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395605",
            "telephone_number": "201-484-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N RTE 17 STE 270",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522816",
            "telephone_number": "201-244-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ ENDODONTICS GROUP PARAMUS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH JERSEY ENDODONTIC GROUP LLC",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "KOHLY",
        "authorized_official_first_name": "NASSIM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-484-5404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.