Individual provider Active NPI

John Cross, D.M.D.

  • Prosthodontics
  • Martinsville, NJ
National Provider Identifier
1164511788
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI01663400 Issued in NJ
Practice address
1794 Washington Valley Rd
Martinsville, NJ 08836-2008
Phone
(732) 356-5050
Fax
(732) 356-8691
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 22DI01663400 NJ Primary

Addresses

Primary practice location

1794 Washington Valley Rd
Martinsville, NJ 08836-2008

Mailing address

1794 Washington Valley Rd
Martinsville, NJ 08836-2008
Phone (732) 356-5050

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
I20161119000402 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4880973510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164511788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 WASHINGTON VALLEY RD",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362008",
            "telephone_number": "732-356-5050",
            "fax_number": "732-356-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 WASHINGTON VALLEY RD",
            "city": "MARTINSVILLE",
            "state": "NJ",
            "postal_code": "088362008",
            "telephone_number": "732-356-5050",
            "fax_number": "732-356-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI01663400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, NJ

Sources for this page

Verify at the official NPI Registry.