Active NPI
Brian Meulener
- Dentist
- Little Silver, NJ
National Provider Identifier
1023467875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22D102640800
- Practice address
- 4 Parker Avenue
Little Silver, NJ 07739-1712 - Phone
- (732) 306-0783
- NPI assigned
- Jun 11, 2016
- Last updated
- Aug 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22D102640800 | NJ | Primary |
Addresses
Primary practice location
4 Parker Avenue
Little Silver, NJ 07739-1712
Mailing address
4 Parker Avenue
Little Silver, NJ 07739-1712
Phone (732) 306-0783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D102640800 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1023467875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 PARKER AVENUE",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391712",
"telephone_number": "732-306-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 PARKER AVENUE",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391712",
"telephone_number": "732-306-0783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEULENER",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-11",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22D102640800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Silver, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.