Mark C Loschiavo DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01796400 Issued in NJ

Legal business name

MARK C LOSCHIAVO DMD PA

Practice address

920 Main Street
Hackensack, NJ 07601-5017

Phone

(201) 342-6454

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark C Loschiavo, DMD

Title

President

Phone

(201) 342-6454

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093916876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MAIN STREET",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015017",
            "telephone_number": "201-342-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MAIN STREET",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015017",
            "telephone_number": "201-342-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C LOSCHIAVO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOSCHIAVO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-342-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01796400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aimee Lee Marston, LCSW
• Martha Severe DDS LLC

• Dentist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.