Individual provider Active NPI

Gloria Fulman, D.M.D.

  • General Practice Dentistry
  • Little Falls, NJ
National Provider Identifier
1508033358
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D102350700 Issued in NJ
Practice address
245 Paterson Ave
Little Falls, NJ 07424-4629
Phone
(973) 256-3912
Fax
(973) 785-2316
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 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 22D102350700 NJ Primary

Addresses

Primary practice location

245 Paterson Ave
Little Falls, NJ 07424-4629

Mailing address

245 Paterson Ave
Little Falls, NJ 07424-4629
Phone (973) 256-3912

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

LicenseStateTypeSpecialty
22D102350700NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1508033358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PATERSON AVE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074244629",
            "telephone_number": "973-256-3912",
            "fax_number": "973-785-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PATERSON AVE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074244629",
            "telephone_number": "973-256-3912",
            "fax_number": "973-785-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMAN",
        "first_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102350700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.