Om Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI18862 Issued in NJ

Legal business name

OM DENTAL CARE PC

Practice address

480 Central Avenue
Jersey City, NJ 07307

Phone

(201) 222-0002

Fax

(201) 222-8211

NPI assigned

Oct 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hitesh J Shah, DDS

Title

President

Phone

(201) 222-0002

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790868701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07307",
            "telephone_number": "201-222-0002",
            "fax_number": "201-222-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07307",
            "telephone_number": "201-222-0002",
            "fax_number": "201-222-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HITESH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-222-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI18862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G150101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Carlos Oliveros
• Laurence M Oliviero, D.C.
• Ufuoma Isioma Olori, M.D.
• Titilola Olayemi Oloyede, FNP-BC
• Melissa Olson
• Laurence Omallon
• Nashwah Omar
• Omnis Medical Services LLC (Omnis Medical)
• Joan Omoro, MS
• On Track Kids Therapy

• 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 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.