Organization Active NPI

Periodontics & Implant Center

  • Periodontics
  • Hoboken, NJ
National Provider Identifier
1932053089
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PERIODONTICS & IMPLANT CENTER
Practice address
1216 Washington St
Hoboken, NJ 07030-5453
Phone
(201) 375-3080
Fax
(201) 630-0868
NPI assigned
Feb 25, 2026
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PERIODONTICS & IMPLANT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Kim Yacono
Title
Office Manager
Phone
(201) 375-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X Primary

Addresses

Primary practice location

1216 Washington St
Hoboken, NJ 07030-5453

Mailing address

1216 Washington St
Hoboken, NJ 07030-5453
Phone (201) 375-3080

National Provider Directory

National Provider Directory
Part of
Periodontics Implant Center

Locations

1216 Washington St
Hoboken, NJ 07030
Phone (201) 386-8090

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1932053089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 WASHINGTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305453",
            "telephone_number": "201-375-3080",
            "fax_number": "201-630-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 WASHINGTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305453",
            "telephone_number": "201-375-3080",
            "fax_number": "201-630-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS & IMPLANT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERIODONTICS & IMPLANT CENTER",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "YACONO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-375-3080"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.