Veselin Shumantov, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02430100 Issued in NY

Practice address

782 Northfield Ave
West Orange, NJ 07052-1167

Phone

(201) 654-3671

NPI assigned

Dec 2, 2009

Last updated

Dec 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1548598527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MAIN ST",
            "address_2": "3J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521167",
            "telephone_number": "201-654-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMANTOV",
        "first_name": "VESELIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "22DI02430100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bijan Shirazi, RPH
• Shirley Court Gonzalez, LCSW BCD LLC
• Laurel Shnider, PT, DPT
• Richard B. Shoenfeld, MD
• Patricia Ann Shorrock, RN,APN,C
• David Sidener, PHD, BCBA-D
• Amanda P Siegel, DPM
• Sigma Community Enrichment Initiative (SCEI, Inc.)
• Ronald G Silikovitz, PH.D.
• Silver Fox Home & Health Care

• Dentist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.