Jimi Stewart

Dentist · Paterson, NJ

Individual Active NPI

NPI number 1144783564

Practice location

1 W Broadway
Paterson, NJ 07505-1014
Phone
(973) 291-2715

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NPI record

NPI
1144783564
Entity type
Individual (Type 1)
Enumeration date
April 11, 2019
Last updated
May 6, 2021
Certified
May 6, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 22DI02800300 NJ
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

110 Bergen St
Newark, NJ 07103-2495

Other practice locations (1)

  • 110 Bergen St, Newark, NJ 07103-2495 · (973) 972-4242

About Jimi Stewart

Jimi Stewart is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1 W Broadway, Paterson, NJ 07505-1014. The NPI number 1144783564 was assigned on April 11, 2019 and the record was last updated on May 6, 2021.

Jimi Stewart lists a license in the registry: #22DI02800300 (NJ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jimi Stewart?

The NPI number is 1144783564.

What is the phone number of Jimi Stewart?

The phone number listed for the practice location is (973) 291-2715.

Where is Jimi Stewart located?

1 W Broadway, Paterson, NJ 07505-1014.

What is the taxonomy code for Jimi Stewart?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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