Active NPI
Allison Mark, DDS
- Endodontics
- Somerset, NJ
National Provider Identifier
1114456753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 22DI02701100
- Practice address
- 120 Cedar Grove LN
Somerset, NJ 08873-6462 - Phone
- (732) 532-0819
- NPI assigned
- Jun 7, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 061002 | NY | |
| Endodontics | 1223E0200X | 22DI02701100 | NJ | Primary |
| General Practice Dentistry | 1223G0001X | 103143 | CA | |
| Dentist | 122300000X | 22DI02701100 | NJ |
Addresses
Primary practice location
120 Cedar Grove LN
Somerset, NJ 08873-6462
Mailing address
120 Cedar Grove LN Unit T12
Somerset, NJ 08873-6462
Phone (732) 532-0819
Other practice location 1
150 55th St
Brooklyn, NY 11220-2508
Phone (718) 630-7000
Other practice location 2
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-2111
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 |
|---|---|---|---|
| 22DI02701100 | NJ | MD | Dentist |
| 103143 | CA | MD | General Practice Dentistry |
| 061002 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1114456753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CEDAR GROVE LN UNIT T12",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088736462",
"telephone_number": "732-532-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CEDAR GROVE LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088736462",
"telephone_number": "732-532-0819"
}
],
"practiceLocations": [
{
"address_1": "150 55th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112202508",
"country_code": "US",
"telephone_number": "718-630-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076011915",
"country_code": "US",
"telephone_number": "551-996-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARK",
"first_name": "ALLISON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "061002",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "22DI02701100",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "103143",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02701100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.