Individual provider Active NPI

Stephen H Traum, D.D.S.

  • Periodontics
  • Edison, NJ
National Provider Identifier
1356477533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10303 Issued in NJ
Practice address
98 James St
Suite# 306
Edison, NJ 08820-3902
Phone
(732) 494-2444
Fax
(732) 494-5730
NPI assigned
Feb 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 10303 NJ Primary

Addresses

Primary practice location

98 James St
Suite# 306
Edison, NJ 08820-3902

Mailing address

98 James St
Suite# 306
Edison, NJ 08820-3902
Phone (732) 494-2444

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
10303NJMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen H. Traum D.D.S.,P.a. Periodontics Past Accepting new patients
Amit M Vora DDS LLC Periodontics Past Accepting new patients

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": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356477533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 JAMES ST",
            "address_2": "SUITE# 306",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-494-2444",
            "fax_number": "732-494-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 JAMES ST",
            "address_2": "SUITE# 306",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-494-2444",
            "fax_number": "732-494-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUM",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "10303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.