Keansburg Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D102285901 Issued in NJ

Legal business name

KEANSBURG FAMILY DENTAL, LLC

Practice address

365 Carr Ave
Keansburg, NJ 07734-1419

Phone

(743) 945-8283

NPI assigned

Apr 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nina Karamzadeh, D.D.S.

Title

Operating Manager

Phone

(732) 945-8283

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1861835183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 CARR AVE",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341419",
            "telephone_number": "743-945-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CARR AVE",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077341419",
            "telephone_number": "743-945-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEANSBURG FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "KARAMZADEH",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "732-945-8283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102285901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxie J Jackson, PTA
• Ricky Ricardo Jamison Jr.
• Heymin Jeong, RPH, PHARMD
• Trivikram Kanumuri
• Susan M Karl, PHYSICAL THERAPIST
• Keansburg School District
• Keansburg Wellness Center LLC
• Rania Rabie Khalifa
• Kimberly Sautner LCSW, LLC
• Kinetic Physical Therapy and Spine PC

• General Practice Dentistry in Keansburg, NJ
• Providers in Keansburg, 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 Apr 17, 2013; 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.