Daniel Shtern, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01912800 Issued in NJ

Practice address

222 Cedar LN Ste 305
Teaneck, NJ 07666-4313

Phone

(201) 530-9191

Fax

(201) 836-2996

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194939488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CEDAR LN STE 305",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664313",
            "telephone_number": "201-530-9191",
            "fax_number": "201-836-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CEDAR LN STE 305",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664313",
            "telephone_number": "201-530-9191",
            "fax_number": "201-836-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTERN",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01912800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01491661",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Shieh, MD
• Kanika Shields
• Pamela Corey Shipley, LPC
• Aspan Meherzad Shokrekhuda, M.D.
• Sara F Shoshana
• Jared Dov Shulman, D.M.D.
• Matisyahu Y Shulman, MD
• Rena Rebecca Shulman, PT
• Michael D Sicklick, DMD
• Atara Siegel

• General Practice Dentistry in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.