Individual provider Active NPI

Martha Claude-Ella Severe, DDS

  • Dentist
  • Jersey City, NJ
National Provider Identifier
1376767806
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052622-1 Issued in NY
Practice address
935 Garfield Ave FL 2
Jersey City, NJ 07304-2731
Phone
(201) 478-5800
Fax
(201) 478-5814
NPI assigned
Apr 13, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 052622-1 NY Primary

Addresses

Primary practice location

935 Garfield Ave FL 2
Jersey City, NJ 07304-2731

Mailing address

10 Murray Hill Ter
Bergenfield, NJ 07621-3014
Phone (917) 586-5612

Other practice location 1

133 Hudson St
Hackensack, NJ 07601-6823
Phone (201) 389-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150605000619 NY Practitioner - Oral Surgery 9537480363 Reassigns benefits to 1 organization
I20231222001850 NJ Practitioner - Dentist 9537480363 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052622-1NYMDDentist
052622NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Family Health Network, Inc. CurrentSince Mar 12, 2023 Accepting new patients
Metropolitan Family Health Network, Inc. CurrentSince Oct 10, 2023 Accepting new patients
Metropolitan Family Health Network, Inc CurrentSince Oct 10, 2023 Accepting new patients
Housing Works Services II, Inc Past Accepting new patients
Martha Severe DDS LLC Past Accepting new patients

Locations

935 Garfield Ave
Jersey City, NJ 07304
Phone (201) 478-5800

935 Garfield Ave
Fl 2
Jersey City, NJ 07304
Phone (201) 478-5800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEIBD

Organizations & group practices 6

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376767806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MURRAY HILL TER",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213014",
            "telephone_number": "917-586-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 GARFIELD AVE FL 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042731",
            "telephone_number": "201-478-5800",
            "fax_number": "201-478-5814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Hudson St",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076016823",
            "country_code": "US",
            "telephone_number": "201-389-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERE",
        "first_name": "MARTHA",
        "middle_name": "CLAUDE-ELLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052622-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.