Individual provider Active NPI

Talia Gottlieb, DMD

  • Dentist
  • Williamstown, NJ
National Provider Identifier
1336963040
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI03058100 Issued in NJ
Practice address
614 Sicklerville Rd
Williamstown, NJ 08094-1217
Phone
(856) 728-9494
NPI assigned
Nov 9, 2024
Last updated
Nov 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI03058100 NJ Primary

Addresses

Primary practice location

614 Sicklerville Rd
Williamstown, NJ 08094-1217

Mailing address

614 Sicklerville Rd
Williamstown, NJ 08094-1217
Phone (856) 728-9494

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

LicenseStateTypeSpecialty
22DI03058100NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Dental Inc CurrentSince Nov 10, 2024 Accepting new patients
Daniel C. Schwartz, DDS Dentist PastSince Nov 10, 2024 Accepting new patients

Locations

614 Sicklerville Rd
Williamstown, NJ 08094
Phone (856) 728-9494

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1336963040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 SICKLERVILLE RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941217",
            "telephone_number": "856-728-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 SICKLERVILLE RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941217",
            "telephone_number": "856-728-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "TALIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03058100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.