Michael John Hatrak, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10551 Issued in NJ

Practice address

313 Broad St
Florence, NJ 08518-1911

Phone

(609) 499-3800

NPI assigned

Aug 5, 2009

Last updated

Aug 5, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael J Hatrak DMD PA

  • General Practice Dentistry
  • Florence, NJ
  • NPI 1982726972
  NPD (past) Authorized official
• Montalbano Nikoonezhad LLC

  dba Florence Dental Studio

  • Dentist
  • Florence, NJ
  • NPI 1942926761
  NPD (past)

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1154552362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 BROAD ST",
            "address_2": "PO BOX 318",
            "city": "FLORENCE",
            "state": "NJ",
            "postal_code": "085181911",
            "telephone_number": "609-499-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 BROAD ST",
            "city": "FLORENCE",
            "state": "NJ",
            "postal_code": "085181911",
            "telephone_number": "609-499-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATRAK",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "10551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan R Gonzalez
• Granny Doula, LLC
• Dawn L Hall
• Johnetta Hampton
• Harsh Patel DPM PA
• Karen Haviland
• Sarah Lynn Heil, A.A- PSYCHOLOGY
• Starlina Henley, RBT
• Danielle Althea Holly, EDD
• Netesha Jones, LCSW

• General Practice Dentistry in Florence, NJ
• Providers in Florence, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.