Active NPI
Mariola Perkowska, D.D.S.
- Dentist
- Clifton, NJ
National Provider Identifier
1174744593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21048
- Practice address
- 287 Parker Ave
Clifton, NJ 07011-1458 - Phone
- (973) 340-6886
- Fax
- (973) 546-6363
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21048 | NJ | Primary |
Addresses
Primary practice location
287 Parker Ave
Clifton, NJ 07011-1458
Mailing address
287 Parker Ave
Clifton, NJ 07011-1458
Phone (973) 340-6886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21048 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174744593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 PARKER AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111458",
"telephone_number": "973-340-6886",
"fax_number": "973-546-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 PARKER AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070111458",
"telephone_number": "973-340-6886",
"fax_number": "973-546-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKOWSKA",
"first_name": "MARIOLA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "21048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.