Beacon Family Dental, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02163100 Issued in NJ

Legal business name

BEACON FAMILY DENTAL, P.A.

Practice address

8 Baldwin Ave
Jersey City, NJ 07304-3154

Phone

(201) 327-6139

NPI assigned

Jan 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ramesh Kianfar Taheri, D.M.D

Title

President /Owner

Phone

(201) 724-0600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1952791394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BALDWIN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BALDWIN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043154",
            "telephone_number": "201-327-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON FAMILY DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "TAHERI",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_middle_name": "KIANFAR",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "201-724-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02163100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jigger John Baylon, PT
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• Laura Bazile
• Laura Beach, LMFT
• Beacon Health and Wellness LLC
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• Asmaa Beais
• Beam Orthodontics JC, PC

• Dentist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.