Kamlesh Jethani, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02132800 Issued in NJ

Practice address

354 Lincoln Ave
Hawthorne, NJ 07506-1200

Phone

(973) 427-9299

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hawthorne Family Dentistry

  • General Practice Dentistry
  • Hawthorne, NJ
  • NPI 1336394113
  NPD (past)
• Mitesh R Patel DDS LLC

  dba Hawthorne Family Dentistry

  • Dental Clinic/Center
  • Hawthorne, NJ
  • NPI 1174024442
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710197439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 LINCOLN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061200",
            "telephone_number": "973-427-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 LINCOLN AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061200",
            "telephone_number": "973-427-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETHANI",
        "first_name": "KAMLESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02132800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Learning Group
• Yehuda Isseroff, DDS
• Donald K Jaeger, O.D.
• Jane L. Jager, D.M.D
• Edward Janiga, O.D.
• Joan Van Raalte D.M.D.,PC
• Sandra Sytsma Johnson, LCSW
• Jonathan Dental Spa at the Center for Cosmetic & Implant Dentistry LLC (Jonathan Dental Spa)
• Joseph W. Montagnino, Mdpa
• Kusum L Kansal, RD,CDE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.