NPIMap

Organization Active NPI

Ryan Trulby, DDS, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jersey City, NJ
National Provider Identifier
1922819911
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RYAN TRULBY, DDS, LLC
Practice address
121 Newark Ave Ste 501
Jersey City, NJ 07302-5873
Phone
(201) 975-4300
NPI assigned
Jan 17, 2025
Organization subpart
Yes
Parent organization
RYAN TRULBY, DDS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Cassandra Wieth
Title
Director of Payor Relations
Phone
(623) 267-8121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

121 Newark Ave Ste 501
Jersey City, NJ 07302-5873

Mailing address

343 Central Ave
Jersey City, NJ 07307-2991
Phone (201) 975-4300

Other names 1

  • Heights Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ryan Trulby DDS LLC2 organizations share this tax ID, including this one
Part of
Ryan Trulby DDS LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 Newark Ave
Ste 501
Jersey City, NJ 07302
Phone (201) 975-4300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1922819911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073072991",
            "telephone_number": "201-975-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NEWARK AVE STE 501",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025873",
            "telephone_number": "201-975-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN TRULBY, DDS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RYAN TRULBY, DDS, LLC",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heights Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.