Individual provider Active NPI

Mark Harrison Mensh, D.M.D.

  • General Practice Dentistry
  • Mays Landing, NJ
National Provider Identifier
1477570133
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01963202 Issued in NJ
Practice address
5429 Harding Hwy Ste 101
Mays Landing, NJ 08330-2263
Phone
(609) 625-0505
Fax
(609) 625-8002
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01963202 NJ Primary

Addresses

Primary practice location

5429 Harding Hwy Ste 101
Mays Landing, NJ 08330-2263

Mailing address

5429 Harding Hwy Ste 101
Mays Landing, NJ 08330-2263
Phone (609) 625-0505

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160505000539 NJ Order and Referring Only - DentistPractitioner - Dentist 1355640855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01963202NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brickworks Dental, LLC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1477570133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 HARDING HWY STE 101",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302263",
            "telephone_number": "609-625-0505",
            "fax_number": "609-625-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 HARDING HWY STE 101",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302263",
            "telephone_number": "609-625-0505",
            "fax_number": "609-625-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSH",
        "first_name": "MARK",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01963202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

Verify at the official NPI Registry.