Active NPI
Steven Kilpatrick, DDS
- General Practice Dentistry
- Metuchen, NJ
National Provider Identifier
1104264449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02727900
- Practice address
- 26 Bridge St
Metuchen, NJ 08840-2276 - Phone
- (732) 321-1151
- NPI assigned
- Jun 10, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02727900 | NJ | Primary |
Addresses
Primary practice location
26 Bridge St
Metuchen, NJ 08840-2276
Mailing address
161 Main St Apt 204
Hackensack, NJ 07601-7167
Phone (616) 915-4324
Other practice location 1
34 High St
Orange, NJ 07050-1606
Phone (973) 675-0653
Other practice location 2
919 Broadway
Bayonne, NJ 07002-3051
Phone (201) 858-8584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160418000333 | MI | Order and Referring Only - Dentist | 0143528620 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02727900 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metuchen Group Dental, LLC | General Practice | Past | Accepting new patients |
| Platinum Dental Orange, PC | General Practice | Past | Accepting new patients |
| Metuchen Dental Group PA | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Metuchen, NJ
- NPI 1720104250
-
- General Practice Dentistry
- Metuchen, NJ
- NPI 1750884730
-
- General Practice Dentistry
- Orange, NJ
- NPI 1013410091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1104264449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 MAIN ST APT 204",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076017167",
"telephone_number": "616-915-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BRIDGE ST",
"city": "METUCHEN",
"state": "NJ",
"postal_code": "088402276",
"telephone_number": "732-321-1151"
}
],
"practiceLocations": [
{
"address_1": "34 High St",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "NJ",
"postal_code": "070501606",
"country_code": "US",
"telephone_number": "973-675-0653",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "919 Broadway",
"address_purpose": "LOCATION",
"city": "Bayonne",
"state": "NJ",
"postal_code": "070023051",
"country_code": "US",
"telephone_number": "201-858-8584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILPATRICK",
"first_name": "STEVEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-10",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02727900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metuchen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.