Individual provider Active NPI

Michael Glogoff, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Hamilton Square, NJ
National Provider Identifier
1578587119
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
844601 Issued in NJ
Practice address
2929 Klockner Rd
Hamilton Square, NJ 08690-2809
Phone
(609) 586-6603
Fax
(609) 586-1801
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 844601 NJ Primary

Addresses

Primary practice location

2929 Klockner Rd
Hamilton Square, NJ 08690-2809

Mailing address

2929 Klockner Rd
Hamilton Square, NJ 08690-2809
Phone (609) 586-6603

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
844601NJMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578587119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 KLOCKNER RD",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086902809",
            "telephone_number": "609-586-6603",
            "fax_number": "609-586-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 KLOCKNER RD",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086902809",
            "telephone_number": "609-586-6603",
            "fax_number": "609-586-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOGOFF",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "844601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton Square, 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.

Verify at the official NPI Registry.