Individual provider Active NPI

Theodore Lempert, DDS

  • General Practice Dentistry
  • Woodbury Heights, NJ
National Provider Identifier
1275637878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
220100783000 Issued in NJ
Practice address
40 Elm Ave
Woodbury Heights, NJ 08097-1197
Phone
(856) 848-8211
Fax
(856) 795-7011
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 220100783000 NJ Primary

Addresses

Primary practice location

40 Elm Ave
Woodbury Heights, NJ 08097-1197

Mailing address

40 Elm Ave
Woodbury Heights, NJ 08097-1197
Phone (856) 848-8211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150506001547 NJ Order and Referring Only - DentistPractitioner - Dentist 5294054664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
220100783000NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275637878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ELM AVE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971197",
            "telephone_number": "856-848-8211",
            "fax_number": "856-795-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ELM AVE",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971197",
            "telephone_number": "856-848-8211",
            "fax_number": "856-795-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMPERT",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "220100783000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

Verify at the official NPI Registry.