Joanna Kostin

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02870801 Issued in NJ

Practice address

3322 US Highway 22 Ste 1104
Branchburg, NJ 08876-4405

Phone

(908) 595-1221

NPI assigned

Apr 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Branchburg Dental Associates, LLC

  • Dental Clinic/Center
  • Branchburg, NJ
  • NPI 1992431787
  NPD

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1972185296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 CASE RD",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088534171",
            "telephone_number": "732-208-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 US HIGHWAY 22 STE 1104",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088764405",
            "telephone_number": "908-595-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "667 Case Rd",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "088534171",
            "country_code": "US",
            "telephone_number": "732-208-8444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076521452",
            "country_code": "US",
            "telephone_number": "201-556-0006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011915",
            "country_code": "US",
            "telephone_number": "551-996-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTIN",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02870801",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lauren Holzschuh Krueger, LPC
• Joseph Robert Krulewicz, DMD
• Zachary Kudman
• Kyrquen LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.