Individual provider Active NPI

Shawn Michael Lafkowitz, DMD

  • Endodontics
  • Edison, NJ
National Provider Identifier
1598095416
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22DI02381200 Issued in NJ
Practice address
1 Lincoln Hwy
Suite 6
Edison, NJ 08820-3962
Phone
(732) 549-2340
NPI assigned
Dec 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 22DI02381200 NJ Primary

Addresses

Primary practice location

1 Lincoln Hwy
Suite 6
Edison, NJ 08820-3962

Mailing address

134 E 22ND St
Apt. 203
New York, NY 10010-6316
Phone (908) 370-1536

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
I20160112000136 NJ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0941502744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02381200NJMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Endodontics P.a. Endodontics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1598095416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 E 22ND ST",
            "address_2": "APT. 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106316",
            "telephone_number": "908-370-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINCOLN HWY",
            "address_2": "SUITE 6",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203962",
            "telephone_number": "732-549-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFKOWITZ",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02381200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.