Sushma Halthore, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02366200 Issued in NJ

Practice address

175 Newark Ave
Jersey City, NJ 07302-2859

Phone

(917) 703-0934

Fax

(201) 435-7678

NPI assigned

Nov 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sushma Hoskote Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grove Street Dental Care PC

  dba Grove Dental Center

  • General Practice Dentistry
  • Jersey City, NJ
  • NPI 1780990622
  NPD Authorized official
• Grove Street Dental PC

  • General Practice Dentistry
  • Jersey City, NJ
  • NPI 1184737496
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1841445772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NEWARK AVE",
            "address_2": "#2B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "917-703-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022859",
            "telephone_number": "917-703-0934",
            "fax_number": "201-435-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTHORE",
        "first_name": "SUSHMA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2023-06-21",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02366200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSHMA",
            "last_name": "HOSKOTE",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexander Hahn
• Gahrahm Hahn
• Song Ey Hahn, DNP CRNA
• Ammar Haikal, MD
• John H. Hajjar, MD
• Marietta Moraleda Halum, D.M.D.
• Sunil Hamadani, DPT
• Andrea Hamblen, MS, CCC-SLP
• Laura Hambrick, LMHC
• Atif Y Hamdan I

• 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.