Mark Durante, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI01381600 Issued in NJ

Practice address

261 Springfield Avenue
Suite 203
Berkeley Heights, NJ 07922

Phone

(908) 464-4664

Fax

(908) 464-8215

NPI assigned

May 1, 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

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 24, 2018 through Jul 24, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191715200000",
    "number": "1215158076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 SPRINGFIELD AVENUE",
            "address_2": "SUITE 203",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "07922",
            "telephone_number": "908-464-4664",
            "fax_number": "908-464-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 SPRINGFIELD AVENUE",
            "address_2": "SUITE 203",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "07922",
            "telephone_number": "908-464-4664",
            "fax_number": "908-464-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANTE",
        "first_name": "MARK",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI01381600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Danielle Dresely, DPT
• Antonios Drivas, MD
• Drug Fair Group, Inc.
• Jo Ann Duffy, RRT
• Timothy J Dunne, P.T.
• Kaashif Eazazuddin
• Margaret Eckler, RD
• Avrim R. Eden, M.D.
• Edward M Burstein DC PA
• Gwen Egloff-Du, PHARMD, BCPS

• Oral and Maxillofacial Surgery (Dentist) in Berkeley Heights, NJ
• Providers in Berkeley Heights, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.