Louis Jerome, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22DI01347000 Issued in NJ

Practice address

2185 Lemoine Ave
Suite 1M
Fort Lee, NJ 07024-6036

Phone

(201) 944-0797

Fax

(201) 944-5080

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861514770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ELMWOOD AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523011",
            "telephone_number": "201-444-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 LEMOINE AVE",
            "address_2": "SUITE 1M",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246036",
            "telephone_number": "201-944-0797",
            "fax_number": "201-944-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI01347000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sungkoo Jang, DDS
• Ye Jin Jang, BCBA
• Jeffrey M. Ahn, M.D., P.C.
• Jonathane Soo Jeon, D.D.S.
• Sooyeon Jeong
• Jersey Stake LLC
• Jigsaw Diagnostics New Jersey PC
• David Jin, D.D.S.
• SE Min Jin
• JK Nephrology and Hypertension LLC

• Endodontics in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.