Jenny Lau, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02769600 Issued in NJ

Practice address

268 Main St
Madison, NJ 07940-2269

Phone

(973) 822-8003

NPI assigned

Sep 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1992356653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SCHWEINBERG DR",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079402269",
            "telephone_number": "973-822-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02769600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "22DI02769600",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "madisondentistryllc@gmail.com",
            "affiliation": "N",
            "address_1": "268 Main St",
            "city": "Madison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079402269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krieck Enterprises LLC
• George P Kryzaniwsky, D.D.S.
• Jessica A. Kuba, MT-BC
• James Edward Lacotte, O.D.
• Madiha Latif, M.D.
• Joyce Lau, DMD
• Laura Palmer PHD LLC
• Lauri Obrien LCSW LLC
• Cathy Lawson, LCSW
• Nicole Marie Lepore, MS, OTR

• General Practice Dentistry in Madison, NJ
• Providers in Madison, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.