Active NPI
Peter King, D.D.S.
- Prosthodontics
- Glen Rock, NJ
National Provider Identifier
1568669729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DI20062
- Practice address
- 849 Lincoln Ave
Glen Rock, NJ 07452-3231 - Phone
- (201) 857-2661
- Fax
- (201) 857-2599
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DI20062 | NJ | Primary |
Addresses
Primary practice location
849 Lincoln Ave
Glen Rock, NJ 07452-3231
Mailing address
328 Lynn Dr
Franklin Lakes, NJ 07417-2325
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
| License | State | Type | Specialty |
|---|---|---|---|
| DI20062 | NJ | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568669729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 LYNN DR",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074172325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 LINCOLN AVE",
"city": "GLEN ROCK",
"state": "NJ",
"postal_code": "074523231",
"telephone_number": "201-857-2661",
"fax_number": "201-857-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "DI20062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Rock, NJ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.