Active NPI
Annmarie Halpin, DMD
- Dentist
- Bloomfield, NJ
National Provider Identifier
1205044435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16962
- Practice address
- 669 Bloomfield Ave
2 Floor
Bloomfield, NJ 07003-2513 - Phone
- (973) 748-8092
- NPI assigned
- May 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 16962 | NJ | Primary |
Addresses
Primary practice location
669 Bloomfield Ave
2 Floor
Bloomfield, NJ 07003-2513
Mailing address
669 Bloomfield Ave
Bloomfield, NJ 07003-2513
Phone (973) 748-8092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 31, 2017 through Jan 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16962 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205044435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 BLOOMFIELD AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032513",
"telephone_number": "973-748-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 BLOOMFIELD AVE",
"address_2": "2 FLOOR",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032513",
"telephone_number": "973-748-8092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALPIN",
"first_name": "ANNMARIE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "16962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, NJ
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.