Active NPI
Mara L Leveson, DMD
- Endodontics
- Princeton, NJ
National Provider Identifier
1063457356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DI19783
- Practice address
- 601 Ewing St
Suite a-10
Princeton, NJ 08540-2757 - Phone
- (609) 497-1188
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DI19783 | NJ | Primary |
Addresses
Primary practice location
601 Ewing St
Suite a-10
Princeton, NJ 08540-2757
Mailing address
26 Blue Heron Way
Skillman, NJ 08558-2248
Phone (609) 333-1340
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 |
|---|---|---|---|
| DI19783 | NJ | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Endodontics | Endodontics | Past | Accepting new patients |
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.
-
- Endodontics
- Princeton, NJ
- NPI 1134164312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063457356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BLUE HERON WAY",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085582248",
"telephone_number": "609-333-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 EWING ST",
"address_2": "SUITE A-10",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085402757",
"telephone_number": "609-497-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVESON",
"first_name": "MARA",
"middle_name": "L",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "DI19783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.