Active NPI
Ben M Kershenbaum II, D.M.D.
- General Practice Dentistry
- Hackensack, NJ
National Provider Identifier
1215077037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16515
- Practice address
- 185 Linden St
Hackensack, NJ 07601-4671 - Phone
- (201) 343-3555
- Fax
- (201) 343-8382
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16515 | NJ | Primary |
Addresses
Primary practice location
185 Linden St
Hackensack, NJ 07601-4671
Mailing address
1230 W Laurelton Pkwy
Teaneck, NJ 07666-2748
Phone (201) 837-1015
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16515 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben M Kershenbaum DMD Aaron Z Rapps DDS PA | General Practice | Past | Accepting new patients |
| Judah Dubin DDS LLC | 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
- Hackensack, NJ
- NPI 1518042795
-
- Dental Clinic/Center
- Hackensack, NJ
- NPI 1215899620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215077037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 W LAURELTON PKWY",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076662748",
"telephone_number": "201-837-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 LINDEN ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076014671",
"telephone_number": "201-343-3555",
"fax_number": "201-343-8382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHENBAUM",
"first_name": "BEN",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "16515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, 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.