Livingston Endodontic Associates, P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22DI01293000 Issued in NJ

Legal business name

LIVINGSTON ENDODONTIC ASSOCIATES, P.A.

Practice address

201 S Livingston Ave
Suite 2B
Livingston, NJ 07039-4043

Phone

(973) 994-1661

Fax

(973) 740-8899

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc Balson, D.D.S.NPI 1053582064

Title

President

Phone

(973) 994-1661

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Balson

  • Endodontics
  • Livingston, NJ
  • NPI 1053582064
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174740567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S LIVINGSTON AVE",
            "address_2": "SUITE 2B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394043",
            "telephone_number": "973-994-1661",
            "fax_number": "973-740-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LIVINGSTON AVE",
            "address_2": "SUITE 2B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394043",
            "telephone_number": "973-994-1661",
            "fax_number": "973-740-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON ENDODONTIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-994-1661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI01293000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livingston Center for Enrichment, LLC
• Livingston Chiropractic and Rehab Inc
• Livingston Chiropractic and Rehabilitation Associates, LLC
• Livingston Dental Group
• Livingston Dermatology Associates
• Livingston Eye Associates,L.L.C.
• Livingston Family Eyecare Inc.
• Livingston Healthcare, LLC
• Livingston Hospital Physicians, P.a.
• Livingston Mall Dental, PA

• Endodontics in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Endodontics in New Jersey

• 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.