Mark Alan Kantrowitz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01144900 Issued in NJ

Practice address

451 Palisade Ave
Cliffside Park, NJ 07010-2825

Phone

(201) 945-0970

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215951546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 PALISADE AVE",
            "address_2": "PO BOX 277",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102825",
            "telephone_number": "201-945-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 PALISADE AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102825",
            "telephone_number": "201-945-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTROWITZ",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01144900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JC Dental Works LLC (Bergen Dental Studio)
• Jeffrie Popplewell LLC (Christian Counseling Association)
• Joseph a Holzapfel DPM, LLC
• Rai Yeon Kang, DPM
• Yelena Kantarzhi, APNC
• Anna Kaplan, LCSW
• Val Elliot Karan, PH.D.
• Alexander I Karapetyan, DDS
• Peter Nicholas Karkantzelis, DPT
• Shady A Khalil, DMD

• General Practice Dentistry in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• General Practice Dentistry 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.