Individual provider Active NPI

David Stanley Tomaszewicz, D.M.D.

  • Dentist
  • Bloomfield, NJ
National Provider Identifier
1588839443
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DIO1341200 Issued in NJ
Practice address
15 Grove St
Bloomfield, NJ 07003-5611
Phone
(973) 748-7223
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DIO1341200 NJ Primary

Addresses

Primary practice location

15 Grove St
Bloomfield, NJ 07003-5611

Mailing address

15 Grove St
Bloomfield, NJ 07003-5611
Phone (973) 748-7223

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310000661 NJ Order and Referring Only - DentistPractitioner - Dentist 2264738616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DIO1341200NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1588839443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GROVE ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035611",
            "telephone_number": "973-748-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GROVE ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035611",
            "telephone_number": "973-748-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASZEWICZ",
        "first_name": "DAVID",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DIO1341200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.