Individual provider Active NPI

Melvin Dov Frenkel, DDS

  • General Practice Dentistry
  • Mountainside, NJ
National Provider Identifier
1255967683
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02837500 Issued in NJ
Practice address
1050 Route 22
Mountainside, NJ 07092-2801
Phone
(908) 654-7979
Fax
(732) 527-3264
NPI assigned
Mar 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 062196 NY
General Practice Dentistry 1223G0001X DN25282 FL
General Practice Dentistry 1223G0001X 22DI02837500 NJ Primary

Addresses

Primary practice location

1050 Route 22
Mountainside, NJ 07092-2801

Mailing address

78 Patricia PL
Clifton, NJ 07012-1850
Phone (347) 268-4885

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
DN25282FLMDGeneral Practice Dentistry
22DI02837500NJMDGeneral Practice Dentistry
062196NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1255967683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 PATRICIA PL",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121850",
            "telephone_number": "347-268-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ROUTE 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922801",
            "telephone_number": "908-654-7979",
            "fax_number": "732-527-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENKEL",
        "first_name": "MELVIN",
        "middle_name": "DOV",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062196",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25282",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02837500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.