Tejal Darji, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI92632400 Issued in NJ

Practice address

335 Broadway
Long Branch, NJ 07740-6901

Phone

(973) 988-3344

NPI assigned

Nov 22, 2015

Last updated

Jan 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Crystal Smiles, LLC

  • Dentist
  • East Brunswick, NJ
  • NPI 1609352012
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1720452105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406901",
            "telephone_number": "732-476-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406901",
            "telephone_number": "973-988-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARJI",
        "first_name": "TEJAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-22",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI92632400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Iyabode Dairo, OT
• Dale M Mortenson LCSW LLC
• Michael D Daley, DNP, APN/A, CRNA
• Joseph John Dallessio, MD
• John B Dalton, M.D.
• Harsh P Dave, OT
• George Charles Davis, M.D.
• Shawanda A Davis
• Dawn's Eyewear
• Jonathan Michael Decker, DO

• Dentist in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.