David Paulussen, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

15179 Issued in NJ

Practice address

354 Route 46 W
Suite 1a
Hackettstown, NJ 07840-5335

Phone

(908) 850-4200

Fax

(908) 850-3730

NPI assigned

Jun 30, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• David W. Paulussen, D.M.D.PA

  • General Practice Dentistry
  • Hackettstown, NJ
  • NPI 1255482048
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1396973228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 ROUTE 46 W",
            "address_2": "SUITE 1A",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078405335",
            "telephone_number": "908-850-4200",
            "fax_number": "908-850-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 ROUTE 46 W",
            "address_2": "SUITE 1A",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078405335",
            "telephone_number": "908-850-4200",
            "fax_number": "908-850-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUSSEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "15179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1255482048",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radhika Patel, NP
• Rita Patel
• Pathology Associates of Northwest Jersey, LLC
• Katelynn Patronick, LCSW
• Benjamin Paulussen, DMD
• Peace and Growth Therapy, LLC
• Faith Pedersen, BSN, RN, IBCLC
• Pediatric & Adolescent Medical Center
• James Harry Peer, ATC
• Elisabet Victoria Perez-Vega

• Dentist in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.