Jonathan Koren D.M.D.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI19226 Issued in NJ

Legal business name

JONATHAN KOREN D.M.D.,P.C.

Practice address

1130 US Highway 202
BLDG E-1
Raritan, NJ 08869-1490

Phone

(908) 429-0442

Fax

(908) 429-4107

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Koren, D.M.D

Title

Owner

Phone

(908) 429-0442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760603468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 US HIGHWAY 202",
            "address_2": "BLDG E-1",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691490",
            "telephone_number": "908-429-0442",
            "fax_number": "908-429-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 US HIGHWAY 202",
            "address_2": "BLDG E-1",
            "city": "RARITAN",
            "state": "NJ",
            "postal_code": "088691490",
            "telephone_number": "908-429-0442",
            "fax_number": "908-429-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN KOREN D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOREN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-429-0442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI19226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.