Individual provider Active NPI

Jessica Majewski, D.M.D.

  • Dentist
  • Verona, NJ
National Provider Identifier
1174963862
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02548500 Issued in NJ
Practice address
16 S Prospect St
Verona, NJ 07044-1508
Phone
(973) 239-5273
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 22DI02548500 NJ Primary

Addresses

Primary practice location

16 S Prospect St
Verona, NJ 07044-1508

Mailing address

16 S Prospect St
Verona, NJ 07044-1508
Phone (973) 239-5273

Other practice location 1

3197 US Highway 22
Branchburg, NJ 08876
Phone (908) 243-0500

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
I20150707002112 NJ Order and Referring Only - DentistPractitioner - Dentist 7719299635

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1174963862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S PROSPECT ST",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441508",
            "telephone_number": "973-239-5273",
            "fax_number": "973-239-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S PROSPECT ST",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441508",
            "telephone_number": "973-239-5273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3197 US Highway 22",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "08876",
            "country_code": "US",
            "telephone_number": "908-243-0500",
            "fax_number": "908-243-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAJEWSKI",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02548500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.