Jersey Garden Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02139701 Issued in NJ

Legal business name

JERSEY GARDEN DENTAL PA

Practice address

651 Kapkowski Rd
Elizabeth, NJ 07201-4901

Phone

(908) 351-6996

Fax

(908) 351-2996

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Prolay Polay

Title

Owner

Phone

(908) 351-6996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790907913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 KAPKOWSKI RD",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072014901",
            "telephone_number": "908-351-6996",
            "fax_number": "908-351-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 KAPKOWSKI RD",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072014901",
            "telephone_number": "908-351-6996",
            "fax_number": "908-351-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY GARDEN DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLAY",
        "authorized_official_first_name": "PROLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-351-6996",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02139701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JC Home Inc
• Jce Foot and Ankle Specialties
• Jefferson Park Ministries, Inc
• Hanzala Jehangir, MD
• Jehdhun
• Jersey Garden'S Optometry P.C.
• Jersey Gardens Optical, LLL
• Chanel Jeter
• Kusum Anil Jethwa, MD
• Jewish Family Service Agency of Central Jersey

• General Practice Dentistry in Elizabeth, NJ
• Providers in Elizabeth, 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.