Grove Street Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02366200 Issued in NJ

Legal business name

GROVE STREET DENTAL CARE PC

Practice address

175 Newark Ave
Suite 2B
Jersey City, NJ 07302-2859

Phone

(201) 200-0222

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sushma Halthore, DMDNPI 1841445772

Title

President

Phone

(201) 200-0222

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Grove Dental Center 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.

• Sushma Halthore, DMD

  • General Practice Dentistry
  • Jersey City, NJ
  • NPI 1841445772
  NPD Authorized official
• Vladimir Dranovsky, DDS

  • Dentist
  • Brooklyn, NY
  • NPI 1427046440
  NPD (past)

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1780990622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NEWARK AVE",
            "address_2": "SUITE 2B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022859",
            "telephone_number": "201-200-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NEWARK AVE",
            "address_2": "SUITE 2B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022859",
            "telephone_number": "201-200-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE STREET DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2023-06-21",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "HALTHORE",
        "authorized_official_first_name": "SUSHMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-200-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02366200",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230260",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grove Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriana Grigoriu, MD
• Grigoriu, LLC
• Anthony N R Grillo, DMD
• Karen Grisales
• William Paul Grist, MD
• Grove Street Dental PC
• Kerry Rooney Grover, DPT
• Grow With Me Speech Therapy LLC
• Growing Stronger Counseling Services
• Xiaoxuan Gu

• General Practice Dentistry in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.