Active NPI
Richard Nazer, DDS
- Dentist
- Berlin, NJ
National Provider Identifier
1053620674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI01102400
- Practice address
- 339 North Route 73
Berlin, NJ 08009 - Phone
- (856) 753-1547
- Fax
- (856) 753-1548
- NPI assigned
- Sep 30, 2010
- Last updated
- Sep 30, 2010
- 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 | 22DI01102400 | NJ | Primary |
Addresses
Primary practice location
339 North Route 73
Berlin, NJ 08009
Mailing address
802 Station Ave.
#6
Haddon Heights, NJ 08035
Phone (856) 753-1547
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 |
|---|---|---|---|
| 22DI01102400 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1053620674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 STATION AVE.",
"address_2": "#6",
"city": "HADDON HEIGHTS",
"state": "NJ",
"postal_code": "08035",
"telephone_number": "856-753-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 NORTH ROUTE 73",
"city": "BERLIN",
"state": "NJ",
"postal_code": "08009",
"telephone_number": "856-753-1547",
"fax_number": "856-753-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZER",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI01102400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.