Walter A Geary, DMD MS

Primary specialty

DentistTaxonomy code 122300000X

License

22D101684101 Issued in NJ

Practice address

2045 Rte 35 S
South Amboy, NJ 08879

Phone

(732) 727-5000

Fax

(732) 525-8566

NPI assigned

Aug 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205849403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 RTE 35 S",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "08879",
            "telephone_number": "732-727-5000",
            "fax_number": "732-525-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 RTE 35 S",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "08879",
            "telephone_number": "732-727-5000",
            "fax_number": "732-525-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "WALTER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D101684101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "096787",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "5530690001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in South Amboy, NJ
• Providers in South Amboy, NJ by specialty
• Dentist 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.