Active NPI
Stanislaw Kaminski, DDS
- General Practice Dentistry
- Wallington, NJ
National Provider Identifier
1275780900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23043
- Practice address
- 62 Main Ave
Wallington, NJ 07057-1134 - Phone
- (973) 685-4246
- Fax
- (973) 685-4258
- NPI assigned
- Aug 25, 2008
- Last updated
- Aug 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23043 | NJ | Primary |
Addresses
Primary practice location
62 Main Ave
Wallington, NJ 07057-1134
Mailing address
62 Main Ave
Wallington, NJ 07057-1134
Phone (973) 685-4246
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23043 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1275780900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 MAIN AVE",
"city": "WALLINGTON",
"state": "NJ",
"postal_code": "070571134",
"telephone_number": "973-685-4246",
"fax_number": "973-685-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 MAIN AVE",
"city": "WALLINGTON",
"state": "NJ",
"postal_code": "070571134",
"telephone_number": "973-685-4246",
"fax_number": "973-685-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "STANISLAW",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-25",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "23043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.