Shore Endodontic Group LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0600315348 Issued in NJ

Legal business name

SHORE ENDODONTIC GROUP LLC

Doing business as

Shore Endodontics

Practice address

459 Lakehurst Rd
Toms River, NJ 08755-6342

Phone

(732) 349-9222

Fax

(732) 349-6213

NPI assigned

Aug 21, 2008

Last updated

Aug 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rajeev Gupta, D.D.S.NPI 1730301649

Title

Endodontist/Owner

Phone

(732) 349-9222

Specialties & licenses 1

Addresses

Other names 1

• Shore Endodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajeev Gupta, D.D.S.

  • Endodontics
  • Toms River, NJ
  • NPI 1730301649
  Authorized official Same address or phone
• Ross L Burman, DDS

  • Endodontics
  • Toms River, NJ
  • NPI 1558026294
  NPD (past)

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1730336785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556342",
            "telephone_number": "732-349-9222",
            "fax_number": "732-349-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 LAKEHURST RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556342",
            "telephone_number": "732-349-9222",
            "fax_number": "732-349-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE ENDODONTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "ENDODONTIST/OWNER",
        "authorized_official_telephone_number": "732-349-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "0600315348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia R Shomo, MD
• Shore Acpuncture, LLC
• Shore Acupuncture, LLC
• Shore Cardiac Center LLC
• Shore Continence Center, P.C.
• Shore Endodontics
• Shore Eye Associates PA (SightMD New Jersey)
• Shore Eye Associates PA
• Shore Eye Associates PA (SightMD New Jersey)
• Shore Family Dental

• Endodontics in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.