P&S Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

2377100 Issued in NJ

Legal business name

P&S DENTAL LLC

Practice address

162 Newark Ave
Jersey City, NJ 07302-2814

Phone

(201) 434-0919

Fax

(201) 434-1453

NPI assigned

Jul 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sang Hoon Paek, D.D.S.

Title

Member

Phone

(917) 583-6646

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Jersey City Dental Doing business as

Tax ID family

Jersey City Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• P&S Dental

  • Dentist
  • Jersey City, NJ
  • NPI 1518386705
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sadredine Shadman, DMD

  • Dentist
  • Yonkers, NY
  • NPI 1871775312
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1740593177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022814",
            "telephone_number": "201-434-0919",
            "fax_number": "201-434-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022814",
            "telephone_number": "201-434-0919",
            "fax_number": "201-434-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&S DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "PAEK",
        "authorized_official_first_name": "SANG HOON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-583-6646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "2377100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229296",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8983909",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229288",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218162",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oluwatosin Oyekunle
• Kingsley Ogigi Oyem, APN PMHNP-BC
• Christopher Oyinkolade, RPH
• P.D.Gor MD PA.
• P&S Dental
• Danielle M Pace Weber, APN - BC
• Leslie Ann Padilla, RN
• Padmavathi Jonnalagadda MD PA
• Andrew Sang Paek, D.D.S.
• Melissa N Pagan, DNP

• Dentist in Jersey City, NJ
• Providers in Jersey City, 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 14, 2010; 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.