Active NPI
Stephen James Tsoucaris, DMD
- Endodontics
- Fort Lee, NJ
National Provider Identifier
1124100102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 1964-6
- Practice address
- 1323 Anderson Ave
Fort Lee, NJ 07024-1771 - Phone
- (201) 969-0990
- Fax
- (201) 969-0660
- NPI assigned
- Oct 19, 2006
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 1964-6 | NJ | Primary |
Addresses
Primary practice location
1323 Anderson Ave
Fort Lee, NJ 07024-1771
Mailing address
1323 Anderson Ave
Fort Lee, NJ 07024-1771
Phone (201) 969-0990
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1964-6 | NJ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124100102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 ANDERSON AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070241771",
"telephone_number": "201-969-0990",
"fax_number": "201-969-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 ANDERSON AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070241771",
"telephone_number": "201-969-0990",
"fax_number": "201-969-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSOUCARIS",
"first_name": "STEPHEN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "1964-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
- Tri State Medical Management
- Tri State Medical Supply Co LLC
- Triune Health Restoration Systems LLC
- Tru Acupuncture & Herbs LLC
- Trustees of Columbia University in the City of New York
- Thomas Chang Uhm, R.PH.
- Unique Medical & Ass. LLC
- Urology Care Center LLC
- Roque Valderrama
- Valentin Counseling Services, LLC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.