Organization Active NPI

David M Mayer DMD

  • General Practice Dentistry
  • Paterson, NJ
National Provider Identifier
1144246349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01365300 Issued in NJ
Legal business name
DAVID M MAYER DMD
Practice address
82 Park Ave
Paterson, NJ 07501-2223
Phone
(973) 881-8568
Fax
(973) 881-9333
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David M Mayer, DMDNPI 1457341232
Title
Owner
Phone
(973) 881-8568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI01365300 NJ Primary

Addresses

Primary practice location

82 Park Ave
Paterson, NJ 07501-2223

Mailing address

82 Park Ave
Paterson, NJ 07501-2223
Phone (973) 881-8568

Other identifiers 1

IdentifierTypeStateIssuer
3104800MedicaidNJ

National Provider Directory

National Provider Directory

Locations

82 Park Ave
Paterson, NJ 07501
Phone (973) 881-8568

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144246349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012223",
            "telephone_number": "973-881-8568",
            "fax_number": "973-881-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012223",
            "telephone_number": "973-881-8568",
            "fax_number": "973-881-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M MAYER DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-881-8568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01365300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.