NPIMap

Organization Active NPI

New Jersey Center for Aesthetic and Restorative Dentistry, LLC

  • Dental Clinic/Center
  • West Orange, NJ
National Provider Identifier
1871739961
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02192000 Issued in NJ
Legal business name
NEW JERSEY CENTER FOR AESTHETIC AND RESTORATIVE DENTISTRY, LLC
Practice address
101 Old Short Hills Rd
Suite 514
West Orange, NJ 07052-1000
Phone
(973) 766-1532
Fax
(973) 766-1529
NPI assigned
Dec 19, 2008
Last updated
Dec 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Dr. Jared Eisen, D.M.D.
Title
Owner
Phone
(973) 766-1532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI02192000 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Rd
Suite 514
West Orange, NJ 07052-1000

Mailing address

101 Old Short Hills Rd
Suite 514
West Orange, NJ 07052-1000
Phone (973) 766-1532

National Provider Directory

National Provider Directory

Locations

101 Old Short Hills Rd
Ste 514
West Orange, NJ 07052
Phone (973) 766-1532

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1871739961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE 514",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521000",
            "telephone_number": "973-766-1532",
            "fax_number": "973-766-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE 514",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521000",
            "telephone_number": "973-766-1532",
            "fax_number": "973-766-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY CENTER FOR AESTHETIC AND RESTORATIVE DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-766-1532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02192000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.