Milena Nersesyan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02779700 Issued in NJ

Practice address

201 Marin Blvd
Jersey City, NJ 07302-6491

Phone

(014) 338-6002

NPI assigned

Nov 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1720625528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MARIN BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026491",
            "telephone_number": "201-433-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARIN BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026491",
            "telephone_number": "014-338-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERSESYAN",
        "first_name": "MILENA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI027797",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02779700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Neibert, MD
• Neighborhood Behavioral Health
• Cindy Lou Nelson, MPS, ATR-BC
• Peter Nelson, DO
• Nephrology Specialty Care New Jersey, LLC
• Seth Ness, M.D., PH.D.
• Christopher Nettles
• Neurowave Profiles LLC
• Cassandra Neus
• New City Dental Care PA

• General Practice Dentistry in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.