NPIMap

Individual provider Active NPI

Andrew Lawrence Putter, D.M.D.

  • Dentist
  • Pitman, NJ
National Provider Identifier
1124457429
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D19515 Issued in NJ
Practice address
410 N Broadway
Pitman, NJ 08071-1047
Phone
(856) 589-3803
Fax
(856) 589-0371
NPI assigned
Nov 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D19515 NJ Primary

Addresses

Primary practice location

410 N Broadway
Pitman, NJ 08071-1047

Mailing address

410 N Broadway
Pitman, NJ 08071-1047
Phone (856) 589-3803

Other names 1

  • Dr. Andrew Lawrence Putter Professional name

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

LicenseStateTypeSpecialty
D19515NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates at Pitman Past Accepting new patients

Organizations & group practices 1

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1124457429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N BROADWAY",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711047",
            "telephone_number": "856-589-3803",
            "fax_number": "856-589-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N BROADWAY",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711047",
            "telephone_number": "856-589-3803",
            "fax_number": "856-589-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTTER",
        "first_name": "ANDREW",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "D19515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "PUTTER",
            "middle_name": "LAWRENCE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pitman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.