Lawrence M. Bodenstein, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01561400 Issued in NJ

Practice address

253 Boulevard
Suite 1
Hasbrouck Heights, NJ 07604-1939

Phone

(201) 288-1788

NPI assigned

Jan 3, 2007

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

Practice roles

Locations

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.

• Lawrence M Bodenstein DMD

  • Dental Clinic/Center
  • Hasbrouck Heights, NJ
  • NPI 1568860542
  NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1164589537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 BOULEVARD",
            "address_2": "SUITE 1",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041939",
            "telephone_number": "201-288-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 BOULEVARD",
            "address_2": "SUITE 1",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041939",
            "telephone_number": "201-288-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENSTEIN",
        "first_name": "LAWRENCE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01561400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, 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 Jul 6, 2016; 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.