Individual provider Active NPI

Kevin Noreika, D.M.D.

  • General Practice Dentistry
  • Montclair, NJ
National Provider Identifier
1073723136
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI14212 Issued in NJ
Practice address
131 Watchung Ave
Montclair, NJ 07043-1797
Phone
(973) 744-3972
Fax
(973) 744-4736
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DI14212 NJ Primary

Addresses

Primary practice location

131 Watchung Ave
Montclair, NJ 07043-1797

Mailing address

131 Watchung Ave
Montclair, NJ 07043-1797
Phone (973) 744-3972

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240710004721 NJ Practitioner - Dentist 1052856333 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI14212NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

418 Summit Ave
Fl 1
Jersey City, NJ 07306

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073723136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WATCHUNG AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431797",
            "telephone_number": "973-744-3972",
            "fax_number": "973-744-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WATCHUNG AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431797",
            "telephone_number": "973-744-3972",
            "fax_number": "973-744-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOREIKA",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI14212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.