Individual provider Active NPI

Stanley Markman, DDS

  • General Practice Dentistry
  • Fort Lee, NJ
National Provider Identifier
1194833160
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI00745000 Issued in NJ
Practice address
2500 Lemoine Ave
Fort Lee, NJ 07024-6232
Phone
(201) 461-1333
Fax
(201) 461-2622
NPI assigned
Aug 29, 2006
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI00745000 NJ Primary

Addresses

Primary practice location

2500 Lemoine Ave
Fort Lee, NJ 07024-6232

Mailing address

2500 Lemoine Avenue
Fort Lee, NJ 07024
Phone (201) 461-1333

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
I20100708000897 NJ Practitioner - Oral Surgery 4981735966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
New York University College of Dentistry, 1959
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rutgers School of Dental MedicineGroup PAC ID 0244382109, 4 clinicians

Practice addresses (Care Compare)

110 Bergen St
Newark, NJ 07103-2495
Phone (973) 972-6005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers School of Dental Medicine CurrentSince Feb 1, 2011 Accepting new patients
Rutgers School of Dental Medicine CurrentSince Feb 1, 2011 Accepting new patients

Locations

110 Bergen St
Newark, NJ 07103
Phone (973) 972-3126

110 Bergen St
#B842A
Newark, NJ 07103

110 Bergen St
#D718
Newark, NJ 07103
Phone (973) 972-4242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1194833160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVENUE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "07024",
            "telephone_number": "201-461-1333",
            "fax_number": "201-461-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246232",
            "telephone_number": "201-461-1333",
            "fax_number": "201-461-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKMAN",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI00745000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.