Ezra Jared Brown, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22D102642000 Issued in NJ

Practice address

33 N Main St
Marlboro, NJ 07746-1470

Phone

(732) 577-0075

NPI assigned

Dec 17, 2018

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Dr. Michael J. Diamond, PA

  • General Practice Dentistry
  • Newark, NJ
  • NPI 1730301821
  NPD (past)
• Orange St Dental Associates LLC

  • General Practice Dentistry
  • Newark, NJ
  • NPI 1962944967

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1871064709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 OTTOWA RD S",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461246",
            "telephone_number": "908-692-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N MAIN ST",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461470",
            "telephone_number": "732-577-0075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4687 US Highway 9",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077313384",
            "country_code": "US",
            "telephone_number": "732-370-3002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "EZRA",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22D102642000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Bocchino
• Stacy Bodner, MPT
• Amanda Kathryn Brendli, OTR/L
• Allison Jill Brodsky, L.C.S.W.
• David Brody, D.M.D.
• Melissa Ann Bruno, MS, OTR/L
• Kirsten Lane Buckley, APN
• Shelby Burns
• Carla Byler, OTR/L
• Lucrecia M Campisi

• Orthodontics and Dentofacial Orthopedics Dentistry in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.