Active NPI
Paul Kovalski II, D.M.D,
- Dentist
- Morris Plains, NJ
National Provider Identifier
1497019053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI01617600
- Practice address
- 59 Koch Ave
Morris Plains, NJ 07950-4400 - Phone
- (973) 538-1800
- Fax
- (973) 889-8481
- NPI assigned
- Jun 28, 2012
- Sex
- Male
- 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 | DI01617600 | NJ | Primary |
Addresses
Primary practice location
59 Koch Ave
Morris Plains, NJ 07950-4400
Mailing address
59 Koch Ave
Morris Plains, NJ 07950-4400
Phone (973) 538-1800
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 |
|---|---|---|---|
| DI01617600 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1497019053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 KOCH AVE",
"city": "MORRIS PLAINS",
"state": "NJ",
"postal_code": "079504400",
"telephone_number": "973-538-1800",
"fax_number": "973-889-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 KOCH AVE",
"city": "MORRIS PLAINS",
"state": "NJ",
"postal_code": "079504400",
"telephone_number": "973-538-1800",
"fax_number": "973-889-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVALSKI",
"first_name": "PAUL",
"name_suffix": "II",
"credential": "D.M.D,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-28",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI01617600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morris Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.