Individual provider Active NPI

Jennifer Sunkin, D.M.D.

  • General Practice Dentistry
  • Union City, NJ
National Provider Identifier
1891153797
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02629000 Issued in NJ
Practice address
3196 Kennedy Blvd Ste 3
Union City, NJ 07087-2468
Phone
(201) 325-8444
Fax
(201) 325-8447
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02629000 NJ Primary

Addresses

Primary practice location

3196 Kennedy Blvd Ste 3
Union City, NJ 07087-2468

Mailing address

3196 Kennedy Blvd Floor 3
Union City, NJ 07087-1471
Phone (973) 742-4200

Other identifiers 1

IdentifierTypeStateIssuer
0526045MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02629000NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1891153797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD FLOOR 3",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070871471",
            "telephone_number": "973-742-4200",
            "fax_number": "973-742-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD STE 3",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872468",
            "telephone_number": "201-325-8444",
            "fax_number": "201-325-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNKIN",
        "first_name": "JENNIFER",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02629000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0526045",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.