Fred W Teschemacher Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DIO1264000 Issued in NJ

Practice address

290 S Livingston Ave
Livingston, NJ 07039-3931

Phone

(973) 992-6789

Fax

(973) 992-0291

NPI assigned

Aug 16, 2006

Last updated

May 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1447363205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 S LIVINGSTON AVE",
            "address_2": "SAME",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393931",
            "telephone_number": "973-992-6789",
            "fax_number": "973-992-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S LIVINGSTON AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393931",
            "telephone_number": "973-992-6789",
            "fax_number": "973-992-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESCHEMACHER",
        "first_name": "FRED",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO1264000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Grace Tecson, APRN
• Jenniferr Temple, APN
• Marianna Tereschenko, O.D.
• Dom Terrone, M.D.
• Ostap Tershakovec, DDS
• Zina Tessema, M.D.
• The Arc of Essex County Inc.
• The Arc of Essex County, Inc
• The Arc of Essex County, Inc
• The Arc of Essex County, Inc.

• General Practice Dentistry in Livingston, NJ
• Providers in Livingston, 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 May 24, 2013; 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.