Michael D Sicklick, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14998 Issued in NJ

Practice address

696 Palisade Ave
Teaneck, NJ 07666-3144

Phone

(201) 833-0335

Fax

(201) 833-9598

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

Yes

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1326015256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 PALISADE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663144",
            "telephone_number": "201-833-0335",
            "fax_number": "201-833-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 PALISADE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663144",
            "telephone_number": "201-833-0335",
            "fax_number": "201-833-9598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Cedar Ln",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664406",
            "country_code": "US",
            "telephone_number": "201-833-0335",
            "fax_number": "786-549-5785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICKLICK",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "14998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara F Shoshana
• Daniel Shtern, DDS
• Jared Dov Shulman, D.M.D.
• Matisyahu Y Shulman, MD
• Rena Rebecca Shulman, PT
• Atara Siegel
• Robin Siegel
• Elissa Siev, OTR/L
• Dana Siletski
• Renee Silverberg, THERAPIST

• General Practice Dentistry in Teaneck, NJ
• Providers in Teaneck, 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 Jun 11, 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.