Active NPI
Paul Maeng
- Dentist
- Bayonne, NJ
National Provider Identifier
1356020598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02985200
- Practice address
- 1160 John F Kennedy Blvd
Suite #B
Bayonne, NJ 07002 - Phone
- (201) 471-7777
- NPI assigned
- Jul 14, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02985200 | NJ | Primary |
Addresses
Primary practice location
1160 John F Kennedy Blvd
Suite #B
Bayonne, NJ 07002
Mailing address
1160 John F Kennedy Blvd
Suite #B
Bayonne, NJ 07002
Phone (201) 471-7777
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 |
|---|---|---|---|
| 22DI02985200 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Emergency Dental and Implant Center | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Bayonne, NJ
- NPI 1598252454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1356020598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 JOHN F KENNEDY BLVD",
"address_2": "SUITE #B",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-471-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 JOHN F KENNEDY BLVD",
"address_2": "SUITE #B",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "07002",
"telephone_number": "201-471-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAENG",
"first_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-14",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02985200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.