Individual provider Active NPI

Martin S Kartush, DDS

  • General Practice Dentistry
  • Mt Arlington, NJ
National Provider Identifier
1144422130
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D102272600 Issued in NJ
Practice address
22 Howard Blvd
Suite 202
Mt Arlington, NJ 07856-1532
Phone
(973) 770-1700
NPI assigned
Jun 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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 22D102272600 NJ Primary

Addresses

Primary practice location

22 Howard Blvd
Suite 202
Mt Arlington, NJ 07856-1532

Mailing address

125 Village Dr
Basking Ridge, NJ 07920-1347
Phone (908) 340-4152

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
I20150225001695 NJ Order and Referring Only - DentistPractitioner - Dentist 0941526545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102272600NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Landing Dental Office PC 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": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1144422130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 VILLAGE DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201347",
            "telephone_number": "908-340-4152",
            "fax_number": "212-616-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD",
            "address_2": "SUITE 202",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561532",
            "telephone_number": "973-770-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARTUSH",
        "first_name": "MARTIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102272600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Arlington, NJ

Sources for this page

Verify at the official NPI Registry.