Active NPI
Michael James McCleaster, DMD
- General Practice Dentistry
- Hoboken, NJ
National Provider Identifier
1316259344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02432900
- Practice address
- 1130 Maxwell LN
Hoboken, NJ 07030-6872 - Phone
- (973) 271-7385
- NPI assigned
- Jul 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 22DI02432900 | NJ | Primary |
Addresses
Primary practice location
1130 Maxwell LN
Hoboken, NJ 07030-6872
Mailing address
2 14TH St
Apt. 526
Hoboken, NJ 07030-6771
Phone (973) 271-7385
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 |
|---|---|---|---|
| 22DI02432900 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1316259344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 14TH ST",
"address_2": "APT. 526",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070306771",
"telephone_number": "973-271-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 MAXWELL LN",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070306872",
"telephone_number": "973-271-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLEASTER",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-07",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02432900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.