Active NPI
David Podolnick, D.D.S.
- General Practice Dentistry
- Mays Landing, NJ
National Provider Identifier
1285722785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI01812000
- Practice address
- 3932 Black Horse Pike
Mays Landing, NJ 08330-3107 - Phone
- (609) 909-1100
- Fax
- (609) 909-9199
- NPI assigned
- Oct 10, 2006
- Last updated
- Jul 8, 2007
- 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 | 22DI01812000 | NJ | Primary |
Addresses
Primary practice location
3932 Black Horse Pike
Mays Landing, NJ 08330-3107
Mailing address
3932 Black Horse Pike
Mays Landing, NJ 08330-3107
Phone (609) 909-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807715 | Other | PA | UNITED CONCORDIA PROVIDER |
| 0177 | Other | NJ | DELTA DENTAL PROVIDER ID |
Other names 1
- Hershel David Podolnick
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 |
|---|---|---|---|
| 22DI01812000 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Family Dental, P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Mays Landing, NJ
- NPI 1326136821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285722785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3932 BLACK HORSE PIKE",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "083303107",
"telephone_number": "609-909-1100",
"fax_number": "609-909-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3932 BLACK HORSE PIKE",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "083303107",
"telephone_number": "609-909-1100",
"fax_number": "609-909-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODOLNICK",
"first_name": "DAVID",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI01812000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "807715",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL PROVIDER ID",
"identifier": "0177",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HERSHEL",
"last_name": "PODOLNICK",
"middle_name": "DAVID",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mays Landing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.