Matthew Gerard Niemiera, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI01145800 Issued in NJ

Practice address

613 Amboy Ave
Suite 105
Perth Amboy, NJ 08861-2577

Phone

(732) 442-4455

Fax

(732) 442-2248

NPI assigned

Sep 27, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447341656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 AMBOY AVE",
            "address_2": "SUITE 105",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612577",
            "telephone_number": "732-442-4455",
            "fax_number": "732-442-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 AMBOY AVE",
            "address_2": "SUITE 105",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612577",
            "telephone_number": "732-442-4455",
            "fax_number": "732-442-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMIERA",
        "first_name": "MATTHEW",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI01145800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mozhdeh Nematollahi
• New Hope Behavioral Health
• Suzanne M Newman, MD
• Tai T Nguyen, RPH
• Mark Lee Niemiera, MD
• Non-Surgical Orthopedics of New Jersey
• Northeast Healthcare Associates, LLC
• Susan Nowelsky, MSW
• Dena Marie Nunez, MA, NCC, LAC
• Giselle C Nunez, RD

• General Practice Dentistry in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.