NSJ Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NSJ DENTAL PA

Practice address

9816 Grand Verde Way Apt 302
Boca Raton, FL 33428-3510

Phone

(908) 208-1863

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Alexander GorlinNPI 1508423815

Title

Manager

Phone

(908) 208-1863

Specialties & licenses 1

Addresses

Other names 1

• Salamon and Yanover Dental Doing business as

Practitioners 1

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

• Alexander Gorlin, DDS

  • General Practice Dentistry
  • Boca Raton, FL
  • NPI 1508423815
  NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1972348654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 GRAND VERDE WAY APT 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283510",
            "telephone_number": "908-208-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 GRAND VERDE WAY APT 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283510",
            "telephone_number": "908-208-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSJ DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "GORLIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-208-1863"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salamon and Yanover Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.