Jersey City Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DIO2356403 Issued in NJ

Legal business name

JERSEY CITY PEDIATRIC DENTISTRY, LLC

Practice address

139 Newark Ave
Jersey City, NJ 07302-2811

Phone

(201) 434-3000

Fax

(201) 434-3001

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wilma Y McPherson, DMD

Title

Pediatric Dentist - Owner

Phone

(201) 434-3000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1932537040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022811",
            "telephone_number": "201-434-3000",
            "fax_number": "201-434-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022811",
            "telephone_number": "201-434-3000",
            "fax_number": "201-434-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY CITY PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "WILMA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST - OWNER",
        "authorized_official_telephone_number": "201-434-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DIO2356403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey City Medical Supplies, Inc
• Jersey City Neck & Back Center, PC
• Jersey City Optometry PC
• Jersey City Oral Surgery & Dental Implant Center
• Jersey City Pathology Group, PA
• Jersey City Pediatrics
• Jersey City Physical Therapy
• Jersey City PT LLC (Town Physical Therapy - Jersey City)
• Jersey City Public Schools
• Jersey City Radiation Therapy LLC

• Pediatric Dentistry in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.