Polkan Dental, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DI021564 Issued in NJ

Legal business name

POLKAN DENTAL, P.C.

Practice address

118 Pompton Ave
Verona, NJ 07044-2917

Phone

(973) 239-3555

Fax

(973) 239-0007

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Shrayman, DDSNPI 1821019894

Title

Owner

Phone

(973) 239-3555

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jacob Shrayman, DDS

  • General Practice Dentistry
  • Verona, NJ
  • NPI 1821019894
  NPD (past) Authorized official
• Elina Shrayman, O.D.

  • Corneal and Contact Management Optometrist
  • Verona, NJ
  • NPI 1720235385
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871708149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-239-3555",
            "fax_number": "973-239-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442917",
            "telephone_number": "973-239-3555",
            "fax_number": "973-239-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLKAN DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHRAYMAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-239-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI021564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personnel Finders, Inc. (Nursefinders of Verona)
• Physicians Firstcare LLC
• Anthony J. Piccolo, PA
• Pirelli Clinical and Forensic Psychology, LLC
• Gabriela P Plesek Andia, PA-C
• Polkan Vision PC
• Pops Therapeutics,LLC
• Pops Therapy LLC
• Premier Healthcare Staffing LLC
• Judith A Prestifilippo, MD

• Dental Clinic/Center in Verona, NJ
• Providers in Verona, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.