Active NPI
Nicole Cullen
- General Practice Dentistry
- Somerset, NJ
National Provider Identifier
1194353185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02831100
- Practice address
- 710 Easton Ave Ste 1
Somerset, NJ 08873-1855 - Phone
- (732) 545-4465
- NPI assigned
- Mar 27, 2020
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02831100 | NJ | Primary |
Addresses
Primary practice location
710 Easton Ave Ste 1
Somerset, NJ 08873-1855
Mailing address
710 Easton Ave
Somerset, NJ 08873-1855
Phone (732) 545-4465
Other practice location 1
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5000
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 |
|---|---|---|---|
| 22DI02831100 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1194353185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 EASTON AVE",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731855",
"telephone_number": "732-545-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 EASTON AVE STE 1",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731855",
"telephone_number": "732-545-4465"
}
],
"practiceLocations": [
{
"address_1": "100 Madison Ave",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "NJ",
"postal_code": "079606136",
"country_code": "US",
"telephone_number": "973-971-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULLEN",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02831100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.