Active NPI
Dental Associates of Jersey City LLC
- Dentist
- Jersey City, NJ
National Provider Identifier
1760726723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18874
- Legal business name
- DENTAL ASSOCIATES OF JERSEY CITY LLC
- Practice address
- 2766 John F Kennedy Blvd
Jersey City, NJ 07306-5508 - Phone
- (201) 433-0773
- NPI assigned
- Nov 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nancy W Hanna, DMD
- Title
- President
- Phone
- (201) 433-0773
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18874 | NJ | Primary |
| Dentist | 122300000X | 09956 | NJ | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10717500 | NJ |
Addresses
Primary practice location
2766 John F Kennedy Blvd
Jersey City, NJ 07306-5508
Mailing address
2766 John F Kennedy Blvd
Jersey City, NJ 07306-5508
Phone (201) 433-0773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6412700 | Medicaid | NJ |
Other names 1
- Nancy Hanna DMD
National Provider Directory
National Provider DirectoryLocations
2 Monmouth St
Fl N
Tinton Falls, NJ 07701
Phone (732) 842-6300
709 Sycamore Ave
Fl 2
Tinton Falls, NJ 07701
Phone (732) 842-6300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1760726723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2766 JOHN F KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065508",
"telephone_number": "201-433-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2766 JOHN F KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065508",
"telephone_number": "201-433-0773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL ASSOCIATES OF JERSEY CITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-433-0773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NJ",
"license": "18874",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NJ",
"license": "09956",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "10717500",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6412700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nancy Hanna DMD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.