Matthew Jonathan Fenimore, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02765700 Issued in NJ

Practice address

54 Horsehill Rd Ste 203
Cedar Knolls, NJ 07927-2016

Phone

(973) 538-2238

NPI assigned

Jul 2, 2019

Last updated

Jul 2, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1285296046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HORSEHILL RD STE 203",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272016",
            "telephone_number": "973-538-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HORSEHILL RD STE 203",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272016",
            "telephone_number": "973-538-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENIMORE",
        "first_name": "MATTHEW",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02765700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Farley, DC, MS, BA
• Robert Jesse Farrell, MD
• Sean Daniel Fedyna, M.D.
• Brian Patrick Feehan, DO
• Claudia D Feeley, DC
• Laurie Fidacaro
• Fire Comm of Dist 3 Hanover Twnshp Morris Cnty (Cedar Knolls Fire Department)
• Aaron Lee Forbes, MD
• Fortiva Wellness, LLC
• Casidy Foster, LCSW

• General Practice Dentistry in Cedar Knolls, NJ
• Providers in Cedar Knolls, 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 2, 2019; 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.