Individual provider Active NPI

Ean James, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Newark, NJ
National Provider Identifier
1932261138
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DI02276500 Issued in NJ
Practice address
639 Mount Prospect Ave
Newark, NJ 07104-3109
Phone
(973) 481-3900
Fax
(973) 481-2999
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DI02276500 NJ Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS035766 PA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X MD431861 PA

Addresses

Primary practice location

639 Mount Prospect Ave
Newark, NJ 07104-3109

Mailing address

2105 W County Line Rd
Suite 9
Jackson, NJ 08527-2301
Phone (732) 942-6900

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DI02276500NJMDOral and Maxillofacial Surgery (Dentist)
DS035766PAMDOral & Maxillofacial Surgery (D.M.D.)
MD431861PAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Maxillofacial & Implant Surgery of Western Mass PC Oral and Maxillofacial Surgery CurrentSince Jan 3, 2021 Accepting new patients
All City Dental Services Past Accepting new patients

Locations

382 N Main St
Ste 202
East Longmeadow, MA 01028
Phone (413) 525-0100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1932261138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W COUNTY LINE RD",
            "address_2": "SUITE 9",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272301",
            "telephone_number": "732-942-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043109",
            "telephone_number": "973-481-3900",
            "fax_number": "973-481-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "EAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI02276500",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS035766",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "MD431861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.