Individual provider Active NPI

Susan V Awn, DMD

  • Dentist
  • Newfoundland, NJ
National Provider Identifier
1235394883
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02252200 Issued in NJ
Practice address
2950 Route 23
Newfoundland, NJ 07435-1436
Phone
(973) 697-8900
NPI assigned
Jul 23, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02252200 NJ Primary

Addresses

Primary practice location

2950 Route 23
Newfoundland, NJ 07435-1436

Mailing address

2950 Route 23
Newfoundland, NJ 07435-1436
Phone (973) 697-8900

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

LicenseStateTypeSpecialty
22DI02252200NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1235394883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 ROUTE 23",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351436",
            "telephone_number": "973-697-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 ROUTE 23",
            "city": "NEWFOUNDLAND",
            "state": "NJ",
            "postal_code": "074351436",
            "telephone_number": "973-697-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWN",
        "first_name": "SUSAN",
        "middle_name": "V",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02252200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newfoundland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.