Individual provider Active NPI

Maria Lourdes Sese, D.D.S.

  • Dentist
  • Jersey City, NJ
National Provider Identifier
1942446315
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02013000 Issued in NJ
Practice address
239 Washington St
Eastcoast Family Dentistry
Jersey City, NJ 07302-3828
Phone
(201) 332-4699
Fax
(201) 332-2060
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02013000 NJ Primary

Addresses

Primary practice location

239 Washington St
Eastcoast Family Dentistry
Jersey City, NJ 07302-3828

Mailing address

239 Washington Street
Eastcoast Family Dentistry
Jersey City, NJ 07302
Phone (201) 332-4699

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02013000NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1942446315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 WASHINGTON STREET",
            "address_2": "EASTCOAST FAMILY DENTISTRY",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-332-4699",
            "fax_number": "201-332-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 WASHINGTON ST",
            "address_2": "EASTCOAST FAMILY DENTISTRY",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023828",
            "telephone_number": "201-332-4699",
            "fax_number": "201-332-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESE",
        "first_name": "MARIA",
        "middle_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02013000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 6, 2009; 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.