Organization Active NPI

Jersey Smile Center LLC

  • Internal Medicine Physician
  • Watchung, NJ
National Provider Identifier
1861377376
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JERSEY SMILE CENTER LLC
Practice address
18 Wildwood Ter
Watchung, NJ 07069-5815
Phone
(678) 603-8791
NPI assigned
Aug 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Shubham GargNPI 1184930794
Title
Owner
Phone
(678) 603-8791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

18 Wildwood Ter
Watchung, NJ 07069-5815

Mailing address

18 Wildwood Ter
Watchung, NJ 07069-5815

Other names 1

  • Jersey Smile Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1861377376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WILDWOOD TER",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WILDWOOD TER",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695815",
            "telephone_number": "678-603-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SMILE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "SHUBHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-603-8791"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.