Active NPI
Katerine Halim
- Dentist
- Midland Park, NJ
National Provider Identifier
1487012977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02633500
- Practice address
- 47 Waldo Ave
Midland Park, NJ 07432-1012 - Phone
- (201) 925-9288
- NPI assigned
- Jan 29, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 22DI02633500 | NJ | Primary |
Addresses
Primary practice location
47 Waldo Ave
Midland Park, NJ 07432-1012
Mailing address
47 Waldo Ave
Midland Park, NJ 07432-1012
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190731000597 | NJ | Order and Referring Only - Dentist | 3870829781 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1487012977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 WALDO AVE",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 WALDO AVE",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321012",
"telephone_number": "201-925-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALIM",
"first_name": "KATERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-29",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02633500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.