Prosthodent P.C.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DI18776 Issued in NJ

Legal business name

PROSTHODENT P.C.

Practice address

60 Baldwin Rd Ste 104
Parsippany, NJ 07054-2901

Phone

(973) 263-3006

Fax

(973) 299-3990

NPI assigned

Nov 8, 2006

Last updated

Aug 22, 2020By 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. Shuyuan J Yang, DDSNPI 1326111212

Title

President

Phone

(973) 263-3006

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, and the practitioner matching its NPPES authorized official.

• Shuyuan J Yang, DDS

  • Prosthodontics
  • Parsippany, NJ
  • NPI 1326111212
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952471740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BALDWIN RD STE 104",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542901",
            "telephone_number": "973-263-3006",
            "fax_number": "973-299-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BALDWIN RD STE 104",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542901",
            "telephone_number": "973-263-3006",
            "fax_number": "973-299-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHODENT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "SHUYUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-263-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "DI18776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Parsippany, NJ
• Providers in Parsippany, NJ by specialty
• Prosthodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.