Individual provider Active NPI

Timothy James Hertz, D.M.D.

  • Dentist
  • Hillsborough, NJ
National Provider Identifier
1194089474
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02535600 Issued in NJ
Practice address
706 Route 206
Dental Care Hillsborough
Hillsborough, NJ 08844-1532
Phone
(908) 448-2227
NPI assigned
Jul 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02535600 NJ Primary

Addresses

Primary practice location

706 Route 206
Dental Care Hillsborough
Hillsborough, NJ 08844-1532

Mailing address

706 Route 206
Dental Care Hillsborough
Hillsborough, NJ 08844-1532
Phone (908) 448-2227

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

LicenseStateTypeSpecialty
22DI02535600NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care Dentistry LLC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1194089474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROUTE 206",
            "address_2": "DENTAL CARE HILLSBOROUGH",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441532",
            "telephone_number": "908-448-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ROUTE 206",
            "address_2": "DENTAL CARE HILLSBOROUGH",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441532",
            "telephone_number": "908-448-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-01",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02535600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.