Individual provider Active NPI

Maria Paula Varon, DDS

  • General Practice Dentistry
  • Hoboken, NJ
National Provider Identifier
1558134601
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN28616 Issued in FL
Practice address
14 Hudson PL
Hoboken, NJ 07030-5518
Phone
(201) 508-0505
NPI assigned
Oct 31, 2023
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02952700 NJ
General Practice Dentistry 1223G0001X DN28616 FL Primary

Addresses

Primary practice location

14 Hudson PL
Hoboken, NJ 07030-5518

Mailing address

14 Colony Rd
Edgewater, NJ 07020-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250804002833 FL Order and Referring Only - DentistPractitioner - Dentist 1254849938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02952700NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1558134601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COLONY RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HUDSON PL",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305518",
            "telephone_number": "201-508-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARON",
        "first_name": "MARIA",
        "middle_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2025-02-05",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02952700",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.