Organization Active NPI

New Jersey Smiles LLC

Doing business as Nj smiles of union

  • General Practice Dentistry
  • Edison, NJ
National Provider Identifier
1760855969
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2291700 Issued in NJ
Legal business name
NEW JERSEY SMILES LLC
Doing business as
Nj smiles of union
Practice address
88 Jersey Ave
Edison, NJ 08820-3526
Phone
(908) 686-0060
NPI assigned
Nov 10, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Hardeek Patel, DDS
Title
President
Phone
(908) 686-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2291700 NJ Primary

Addresses

Primary practice location

88 Jersey Ave
Edison, NJ 08820-3526

Mailing address

372 Chestnut St
Union, NJ 07083-9401
Phone (908) 686-0060

Other identifiers 1

IdentifierTypeStateIssuer
2291700OtherNJLICENSE

Other names 1

  • Nj smiles of union Doing business as

National Provider Directory

National Provider Directory

Locations

372 Chestnut St
Union, NJ 07083
Phone (908) 686-0060

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1760855969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839401",
            "telephone_number": "908-686-0060",
            "fax_number": "908-756-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 JERSEY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203526",
            "telephone_number": "908-686-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARDEEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-686-0060",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "2291700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2291700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nj smiles of union",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.