Mark F. Samani, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

22DI01838700 Issued in NJ

Practice address

577 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8409

Phone

(201) 505-1900

Fax

(201) 505-1925

NPI assigned

Jul 1, 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)

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.

• Ridgewood Dental Associates, LLC

  • Prosthodontics
  • Ridgewood, NJ
  • NPI 1285966267
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477582500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778409",
            "telephone_number": "201-505-1900",
            "fax_number": "201-505-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778409",
            "telephone_number": "201-505-1900",
            "fax_number": "201-505-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANI",
        "first_name": "MARK",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI01838700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S.Walsky MD
• Elizabeth Ann Roche, M.D.
• Wendi L Rodgers, DC
• Marissa A Rogers
• Yara Rina Salman, LPC
• Laurie Schlussel, RD
• Ruth J Schulze, MD
• Judith Schuster, RNC, IBCLC
• Samantha Maria Sendawy, LAC, NCC
• Glenda Eileen Sepulveda, LPN

• Prosthodontics in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Prosthodontics 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.