MEDICARE: JOANA BROWN D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	22DI02762000	NJ
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1942731195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANA BROWN D.M.D.

Provider Business Mailing Address
First Line	:	89 BRISCOE TER
Second Line	:
City	:	HAZLET
State	:	NJ
Zip	:	07730-1127
Country	:	US
Telephone Number	:	908-902-3350
Fax Number	:

Provider Business Practice Location Address
First Line	:	4562 US HIGHWAY 9 STE B
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3771
Country	:	US
Telephone Number	:	732-739-7117
Fax Number	:	732-739-7118

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	12/11/2025

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