Active NPI
Harold A Pollack, DDS
- General Practice Dentistry
- Millburn, NJ
National Provider Identifier
1528270980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22D100856800
- Practice address
- 280 Millburn Ave
Millburn, NJ 07041-1704 - Phone
- (973) 467-0720
- Fax
- (973) 467-6789
- NPI assigned
- May 5, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22D100856800 | NJ | Primary |
Addresses
Primary practice location
280 Millburn Ave
Millburn, NJ 07041-1704
Mailing address
280 Millburn Ave
Millburn, NJ 07041-1704
Phone (973) 467-0720
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 |
|---|---|---|---|---|
| I20150701000451 | NJ | Order and Referring Only - Dentist | 2961714183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D100856800 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528270980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411704",
"telephone_number": "973-467-0720",
"fax_number": "973-467-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411704",
"telephone_number": "973-467-0720",
"fax_number": "973-467-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "HAROLD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22D100856800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millburn, NJ
- Physical Therapy Center Management Group, LLC
- Paulo Bandeira Pinho, M.D.
- Pinnacle Behavior Health Inc
- Lori Pitkowsky, MSW, NBC-HWC
- Thomas Pitoscia, M.D.
- Marshall Sandy Pollack, MK.D.
- William Pollak, D.D.S.
- Matthew J Pritikin, LSW
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.