Braces at Brick PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BRACES AT BRICK PA

Practice address

990 Cedar Bridge Ave Ste B15
Brick, NJ 08723-4158

Phone

(732) 477-1808

Fax

(732) 477-1490

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. John M Young Jr., DDSNPI 1619043247

Title

Owner

Phone

(732) 477-1808

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John M Young Jr., DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brick, NJ
  • NPI 1619043247
  NPD Authorized official

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1932683000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 CEDAR BRIDGE AVE STE B15",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234158",
            "telephone_number": "732-477-1808",
            "fax_number": "732-477-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 CEDAR BRIDGE AVE STE B15",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234158",
            "telephone_number": "732-477-1808",
            "fax_number": "732-477-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACES AT BRICK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-477-1808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "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": []
}

• Tatiana Cirne Botelho de Oliveira, MD, MBA
• Christina Botte, DPT
• Deborah Ann Bottomley, LSW
• Brianna Boyance, COTA
• Eileen Boyce
• Lauren Courtney Bracken, FNP-BC
• Janet Bradshaw
• Amanda Bragg
• Taylor Danielle Branco
• Thomas E Brandeisky, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Brick, NJ
• Providers in Brick, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.