Active NPI
Eugene Gutman, D.M.D.
- General Practice Dentistry
- Mercerville, NJ
National Provider Identifier
1285857979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS025676L
- Practice address
- 2312 Whitehorse Mercerville Rd Ste 200a
Mercerville, NJ 08619-1953 - Phone
- (609) 587-0049
- NPI assigned
- Apr 11, 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 | DS025676L | PA | Primary |
Addresses
Primary practice location
2312 Whitehorse Mercerville Rd Ste 200a
Mercerville, NJ 08619-1953
Mailing address
2312 Whitehorse Mercerville Rd Ste 200a
Mercerville, NJ 08619-1953
Phone (609) 587-0049
Other names 1
- Dr. Gene Gutman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150626000634 | PA | Order and Referring Only - Dentist | 1850603242 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCD Perfect Smiles, LLC | General Practice | Past | Accepting new patients |
| Cranbrook Dental, LLC | General Practice | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8453/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Mercerville, NJ
- NPI 1790807428
-
- General Practice Dentistry
- Bensalem, PA
- NPI 1215408588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1285857979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 WHITEHORSE MERCERVILLE RD STE 200A",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086191953",
"telephone_number": "609-587-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 WHITEHORSE MERCERVILLE RD STE 200A",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086191953",
"telephone_number": "609-587-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTMAN",
"first_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS025676L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GENE",
"last_name": "GUTMAN",
"prefix": "DR.",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Mercerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.