Jersey City Dentistry Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JERSEY CITY DENTISTRY PROFESSIONAL CORPORATION

Practice address

22 Glenwood Ave
Jersey City, NJ 07306-4631

Phone

(201) 333-0883

Fax

(201) 333-3225

NPI assigned

Apr 20, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Sriniketh Srinivasa, DMDNPI 1659705192

Title

President

Phone

(201) 333-0883

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sriniketh Srinivasa, DMD

  • Dentist
  • Jersey City, NJ
  • NPI 1659705192
  NPD Authorized official
• Steven John Devito, DMD

  • General Practice Dentistry
  • North Bergen, NJ
  • NPI 1740324268
  NPD (past)

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1700720620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GLENWOOD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064631",
            "telephone_number": "201-333-0883",
            "fax_number": "201-333-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GLENWOOD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064631",
            "telephone_number": "201-333-0883",
            "fax_number": "201-333-3225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070471729",
            "country_code": "US",
            "telephone_number": "201-867-4982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JERSEY CITY DENTISTRY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "SRINIVASA",
        "authorized_official_first_name": "SRINIKETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-333-0883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey City Center for Othopaedic Injuries LLC
• Jersey City Community Charter School
• Jersey City Connections, Inc
• Jersey City Critical Care Associates
• Jersey City Dental Group LLC
• Jersey City Diagnostic Center Inc
• Jersey City Endodontics LLC
• Jersey City Family Medicine PC
• Jersey City Hands-on Physical Therapy and Wellness Center LLC
• Jersey City Healthcare Providors LLC

• Dentist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.