Mark Howard Docktor, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI00960600 Issued in NJ

Practice address

726 Washington St
Hoboken, NJ 07030-5002

Phone

(201) 963-9000

Fax

(201) 795-9008

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104980010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 JEFFERSON AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701629",
            "telephone_number": "201-894-8334",
            "fax_number": "201-894-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 WASHINGTON ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305002",
            "telephone_number": "201-963-9000",
            "fax_number": "201-795-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKTOR",
        "first_name": "MARK",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI00960600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Maria Dilapo, PT, DPT
• Giuseppina Dilena, RD
• Theresa Dionisio
• Tanner William Dixon, FNP-C
• Jonathan Dobzelecki
• Amanda Grace U Dolan, RD
• Susan Dolan, LCSW
• Alyssa Marie Dombrosky, CRNP-BC
• Kristin Jane Donadio, MSN, APN, A-GNP-C
• Tara Donofrio, ATC

• General Practice Dentistry in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.