Allan Jeremy Stein, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02838800 Issued in NJ

Practice address

769 Northfield Ave Ste 154
West Orange, NJ 07052-1163

Phone

(973) 736-0111

Fax

(973) 325-6442

NPI assigned

Jun 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Rutgers School of Dental Medicine, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Northfield Dental GroupGroup PAC ID 3971782319, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northfield Dental Group

  • General Practice Dentistry
  • West Orange, NJ
  • NPI 1225134455
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1023685591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 NORTHFIELD AVE STE 154",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521163",
            "telephone_number": "973-736-0111",
            "fax_number": "973-325-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 NORTHFIELD AVE STE 154",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521163",
            "telephone_number": "973-736-0111",
            "fax_number": "973-325-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "ALLAN",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02838800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Staten
• Melissa Stawinski, OTR/L
• Eugene Michael Stefanelli, EDS,PHD
• Leonard Stefanelli
• Andrew B Stefaniwsky, M.D.
• Ivan Fredric Stein, DDS
• Traci R. Stein, PHD, MPH
• Stephanie Badalamenti MD PHD
• Rosetta Stephens, LCSW
• Steven Hertz, MD,LLC

• General Practice Dentistry in West Orange, NJ
• Providers in West Orange, 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 Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.