Individual provider Active NPI

Andrew Berman, DMD

  • Pediatric Dentistry
  • Moorestown, NJ
National Provider Identifier
1225226335
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DIO2352100 Issued in NJ
Practice address
740 Marne Hwy Ste 103
Moorestown, NJ 08057-3126
Phone
(856) 638-1234
NPI assigned
Oct 15, 2007
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 22DIO2352100 NJ Primary

Addresses

Primary practice location

740 Marne Hwy Ste 103
Moorestown, NJ 08057-3126

Mailing address

740 Marne Hwy Ste 103
Moorestown, NJ 08057-3126
Phone (856) 638-1234

Medicare participation

Medicare enrollment files
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
Previously, effective Sep 4, 2020 through Sep 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DIO2352100NJMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Pediatric Dentistry LLC Pediatric Dentistry CurrentSince Jun 21, 2020 Accepting new patients

Locations

740 Marne Hwy
Ste 103
Moorestown, NJ 08057
Phone (856) 638-1234

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1225226335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 MARNE HWY STE 103",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573126",
            "telephone_number": "856-638-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MARNE HWY STE 103",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573126",
            "telephone_number": "856-638-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DIO2352100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.