Jersey Smile Center LLC · Internal Medicine Physician

3993 Park Ave, Edison, NJ 08820-3013

Overview

Jersey Smile Center LLC is a Internal Medicine Physician (organization) practicing in Edison, New Jersey. The National Provider Identifier (NPI) is #1861377376, which was assigned on August 6, 2025, and the registration record was last updated on August 6, 2025. The practitioner's main practice location is at 3993 Park Ave, Edison, NJ 08820-3013; the contact telephone number is 6786038791. The primary taxonomy of Jersey Smile Center LLC is Internal Medicine Physician (207R00000X). The authorized official for Jersey Smile Center LLC is Shubham Garg (Owner).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Information

NPI 1861377376
Entity Type Organization
Organization Name JERSEY SMILE CENTER LLC
Provider Name JERSEY SMILE CENTER LLC
Practice Address 3993 Park Ave
Edison
NJ 08820-3013
Practice Telephone 6786038791
Mailing Address Po Box 1009
Elizabeth
NJ 07207-1009
Certification Date 2025-08-06
Enumeration Date 2025-08-06
Last Update Date 2025-08-06
Is Organization Subpart N

Authorized Official Information

Official Name SHUBHAM GARG
Official Title OWNER
Telephone 6786038791

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207R00000XInternal Medicine193400000X SINGLE SPECIALTY GROUP

Other Provider Names

Other Organization NameType
Jersey Smile CenterDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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Location Information

Street Address 3993 PARK AVE
City EDISON
State NJ
Zip Code 08820-3013
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Brandon Eshwar Ramdeo 65 James Street, Jfk Medical Center, Edison, NJ 08820Student in an Organized Health Care Education/Training Program2025-05-16
Diane N Dias 80 James St, 2nd Fl, Edison, NJ 08820Physician Assistant2006-10-03
Mary Katherine Corbisiero 2163 Oak Tree Rd Ste 200, Edison, NJ 08820-1084Behavioral Analyst2023-03-16
Charles Frank Kreisel 2 Lincoln Highway, Levinson Plaza, Suite 301, Edison, NJ 08820Critical Care Medicine (Internal Medicine) Physician2018-03-26
Igor Sobol 2 Lincoln Hwy. Suite 509, Edison, NJ 08820Specialist2007-01-19
Rajendra H Patel 1804 Oak Tree Road, Edison, NJ 08820Internal Medicine Physician2006-11-01
Preeti Dilip Subhedar 80 James St, 3rd Fl, Edison, NJ 08820Surgical Oncology Physician2009-04-24
Shahida Y. Ahmed · Shahida Yoosufani 61 Laurel Hollow Ct, Edison, NJ 08820-1051Anatomic Pathology & Clinical Pathology Physician2006-08-11
Danielle Nicole Hunt-Kingsbury 2163 Oak Tree Rd, Edison, NJ 08820-1083Nurse Practitioner2025-07-08
Kayla Jean Grieco 2163 Oak Tree Rd, Edison, NJ 08820-1083Behavioral Analyst2025-10-16
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.