Individual provider Active NPI

Seth M. Wallerstein, D.M.D.

  • General Practice Dentistry
  • Edison, NJ
National Provider Identifier
1497750913
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01592900 Issued in NJ
Practice address
25 S Main St
Ste 9
Edison, NJ 08837-3448
Phone
(732) 494-0700
Fax
(732) 494-5599
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 22DI01592900 NJ Primary

Addresses

Primary practice location

25 S Main St
Ste 9
Edison, NJ 08837-3448

Mailing address

25 S Main St
Ste 9
Edison, NJ 08837-3448
Phone (732) 494-0700

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
I20150615001903 NJ Order and Referring Only - DentistPractitioner - Dentist 9830400068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01592900NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497750913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "address_2": "STE 9",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373448",
            "telephone_number": "732-494-0700",
            "fax_number": "732-494-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "address_2": "STE 9",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373448",
            "telephone_number": "732-494-0700",
            "fax_number": "732-494-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLERSTEIN",
        "first_name": "SETH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01592900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.