Stephen A Beukas, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI018346 Issued in NJ

Practice address

800 Wyckoff Ave
Suite 103
Wyckoff, NJ 07481-1525

Phone

(201) 891-4700

Fax

(201) 891-4943

NPI assigned

Feb 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Mobile Dental Practice, PC

  • General Practice Dentistry
  • Wyckoff, NJ
  • NPI 1235311028
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275677213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WYCKOFF AVE",
            "address_2": "SUITE 103",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811525",
            "telephone_number": "201-891-4700",
            "fax_number": "201-891-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WYCKOFF AVE",
            "address_2": "SUITE 103",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811525",
            "telephone_number": "201-891-4700",
            "fax_number": "201-891-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUKAS",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI018346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6516305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bergen Smile Confidence,P.a.
• Bergen West Pediatric Center, PA
• Bergen-Passaic Womens Health Center LLC
• Harold Ira Berger, D.M.D.
• Maria Bellla Bernardo-Decurtis, PT, MS
• Melanie B Bieber, LPC
• Biogen Laboratory Corporation
• Kristin Birchenough, LPC
• Bishoy Youssef PT DPT LLC (Empowered PT)
• Barbara Holub Bizub, D.C.

• General Practice Dentistry in Wyckoff, NJ
• Providers in Wyckoff, 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 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.