Active NPI
Marc Christian Kay, DMD
- Periodontics
- North Brunswick, NJ
National Provider Identifier
1710588066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 062000
- Practice address
- 1626 Rte 130
North Brunswick, NJ 08902-3000 - Phone
- (267) 469-0016
- NPI assigned
- Nov 3, 2020
- Last updated
- Sep 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02746900 | NJ | |
| Periodontics | 1223P0300X | 062000 | NY | Primary |
Addresses
Primary practice location
1626 Rte 130
North Brunswick, NJ 08902-3000
Mailing address
340 W 28TH St Apt 9J
New York, NY 10001-4741
Phone (917) 436-0832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22DI02746900 | Other | NJ | NEW JERSEY BOARD OF DENTISTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02746900 | NJ | MD | Dentist |
| 062000 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Implant Dental Works P.L.L.C. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- New York, NY
- NPI 1487387353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1710588066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 W 28TH ST APT 9J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014741",
"telephone_number": "917-436-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 RTE 130",
"city": "NORTH BRUNSWICK",
"state": "NJ",
"postal_code": "089023000",
"telephone_number": "267-469-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAY",
"first_name": "MARC CHRISTIAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02746900",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "062000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY BOARD OF DENTISTRY",
"identifier": "22DI02746900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.