Jurgita Piatnichouk, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02610600 Issued in NJ

Practice address

3003 English Creek Ave
Egg Harbor Township, NJ 08234-4863

Phone

(609) 484-5996

Fax

(609) 484-1715

NPI assigned

Oct 22, 2015

Last updated

Nov 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jurgita Piatnichouk Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541894400000",
    "number": "1801268420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WEATHERVANE CIR",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142535",
            "telephone_number": "718-644-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 ENGLISH CREEK AVE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082344863",
            "telephone_number": "609-484-5996",
            "fax_number": "609-484-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIATNICHOUK",
        "first_name": "JURGITA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2018-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02610600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JURGITA",
            "last_name": "PIATNICHOUK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.