Active NPI
Marta A Kaczaj, DMD
- Dentist
- Jenkintown, PA
National Provider Identifier
1457523896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS026097L
- Practice address
- 609 West Ave
Jenkintown, PA 19046-2707 - Phone
- (215) 885-7337
- Fax
- (267) 627-2361
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS026097L | PA | Primary |
Addresses
Primary practice location
609 West Ave
Jenkintown, PA 19046-2707
Mailing address
609 West Ave
Jenkintown, PA 19046-2707
Phone (215) 885-7337
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS026097L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1457523896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 WEST AVE",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462707",
"telephone_number": "215-885-7337",
"fax_number": "267-627-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 WEST AVE",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462707",
"telephone_number": "215-885-7337",
"fax_number": "267-627-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACZAJ",
"first_name": "MARTA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS026097L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.