Active NPI
Andrew Maron, DDS
- Oral and Maxillofacial Pathology Dentistry
- Union, NJ
National Provider Identifier
1215035134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- Practice address
- 459 Chestnut St
Union, NJ 07083-9313 - Phone
- (908) 686-5868
- Fax
- (908) 686-2331
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | NJ | Primary |
Addresses
Primary practice location
459 Chestnut St
Union, NJ 07083-9313
Mailing address
459 Chestnut St
Union, NJ 07083-9313
Phone (908) 686-5868
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D101836907 | NJ | MD | Oral and Maxillofacial Pathology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astoria Dental Broadway | Current | Accepting new patients | |
| PDG of Union | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Astoria, NY
- NPI 1730675273
-
- General Practice Dentistry
- Union, NJ
- NPI 1891891990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215035134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070839313",
"telephone_number": "908-686-5868",
"fax_number": "908-686-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 CHESTNUT ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070839313",
"telephone_number": "908-686-5868",
"fax_number": "908-686-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARON",
"first_name": "ANDREW",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.