Organization Active NPI

Jamie Diament-Golub, DMD PC

  • Dental Clinic/Center
  • Fort Lee, NJ
National Provider Identifier
1831362854
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAMIE DIAMENT-GOLUB, DMD PC
Practice address
2185 Lemoine Ave
Fort Lee, NJ 07024-6036
Phone
(201) 944-7636
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Dr. Jamie Diament-Golub, DMD
Title
President/Owner
Phone
(201) 944-7636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2185 Lemoine Ave
Fort Lee, NJ 07024-6036

Mailing address

2185 Lemoine Ave
Fort Lee, NJ 07024-6036
Phone (201) 944-7636

Other identifiers 2

IdentifierTypeStateIssuer
053459OtherNYNY DENTAL LICENSE
22DI01630800OtherNJDENTAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1831362854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246036",
            "telephone_number": "201-944-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246036",
            "telephone_number": "201-944-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE DIAMENT-GOLUB, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "DIAMENT-GOLUB",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "201-944-7636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY DENTAL LICENSE",
            "identifier": "053459",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "22DI01630800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.