Individual provider Active NPI

Eugene M. Sheen, DMD

  • General Practice Dentistry
  • Cliffside Park, NJ
National Provider Identifier
1053587238
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
P59305 Issued in NY
Practice address
220B Cliff St
Cliffside Park, NJ 07010-1409
Phone
(718) 440-5639
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X P59305 NY Primary

Addresses

Primary practice location

220B Cliff St
Cliffside Park, NJ 07010-1409

Mailing address

220B Cliff St
Cliffside Park, NJ 07010-1409
Phone (718) 440-5639

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

LicenseStateTypeSpecialty
P59305NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
L & S Dental Group LLC General Practice Current Accepting new patients

Locations

801 Washington St
Hoboken, NJ 07030
Phone (201) 683-5230

69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1053587238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220B CLIFF ST",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101409",
            "telephone_number": "718-440-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220B CLIFF ST",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101409",
            "telephone_number": "718-440-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEN",
        "first_name": "EUGENE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "P59305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.