Active NPI
Eileen O'Donnell, DMD
- Pediatric Dentistry
- Toms River, NJ
National Provider Identifier
1184897548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 13050
- Practice address
- 601 Rte 37 W Ste 102
Toms River, NJ 08755-8050 - Phone
- (732) 240-2244
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 13050 | NJ | Primary |
Addresses
Primary practice location
601 Rte 37 W Ste 102
Toms River, NJ 08755-8050
Mailing address
601 Rte 37 W Ste 102
Toms River, NJ 08755-8050
Phone (732) 240-2244
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 |
|---|---|---|---|
| 13050 | NJ | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1184897548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 RTE 37 W STE 102",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087558050",
"telephone_number": "732-240-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 RTE 37 W STE 102",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087558050",
"telephone_number": "732-240-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "EILEEN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "13050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.