Bayonne Smile Center, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BAYONNE SMILE CENTER, LLC

Doing business as

Bayonne Smile Center

Practice address

942 Avenue C
Bayonne, NJ 07002-3026

Phone

(201) 339-1742

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Credentialing Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Bayonne Smile Center Doing business as

Locations

Practitioners 2

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.

• Lauren Marie Cannavo, D.M.D

  • Dentist
  • Washington, NJ
  • NPI 1558521328
  NPD (past)
• David Serratelli, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bridgewater, NJ
  • NPI 1255743159
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1992427678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023026",
            "telephone_number": "201-339-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023026",
            "telephone_number": "201-339-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE SMILE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "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": "Bayonne Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bayonne Pharmacy Inc (Jerrys Drug & Surgical Supply)
• Bayonne Podiatry Group
• Bayonne Radonc Associates, LLC
• Bayonne Renal Center, LLC (Bayonne Renal Center)
• Bayonne RX Apothecary Inc (Bayonne Rx Apothecary)
• Bayonne Star Pediatrics LLC
• Bayonne Veterinary Medical Building
• Bayonne Vision LLC
• Bayonne Visiting Nurse Association, Inc
• Bayonne Visiting Nurse Association, Inc

• General Practice Dentistry in Bayonne, NJ
• Providers in Bayonne, 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 19, 2022; 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.