Individual provider Active NPI

Steven Slomovitz, D.M.D.

  • General Practice Dentistry
  • Richboro, PA
National Provider Identifier
1124378682
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042147 Issued in PA
Practice address
981 Second Street Pike
Richboro, PA 18954-1541
Phone
(215) 322-8117
Fax
(215) 322-8107
NPI assigned
Sep 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS042147 PA Primary

Addresses

Primary practice location

981 Second Street Pike
Richboro, PA 18954-1541

Mailing address

1330 Parkway Ave
Ewing, NJ 08628

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150205000695 NJ Order and Referring Only - DentistPractitioner - Dentist 9436474806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS042147PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Slomovitz, DMD, LLC CurrentSince Dec 29, 2024 Accepting new patients
Eastern Dental of Laurel Springs, LLC General Practice Past Accepting new patients
Eastern Dental of Vineland, LLC General Practice Past Accepting new patients
Eastern Dental of Ewing, LLC General Practice PastSince Jun 5, 2016 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1124378682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "08628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 SECOND STREET PIKE",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541541",
            "telephone_number": "215-322-8117",
            "fax_number": "215-322-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOMOVITZ",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

Verify at the official NPI Registry.