Individual provider Active NPI

Shalom Mehler, D.M.D.

  • General Practice Dentistry
  • Teaneck, NJ
National Provider Identifier
1629057328
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2035500 Issued in NJ
Practice address
405 Cedar LN
Suite 4
Teaneck, NJ 07666-1739
Phone
(201) 836-0659
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2035500 NJ Primary

Addresses

Primary practice location

405 Cedar LN
Suite 4
Teaneck, NJ 07666-1739

Mailing address

405 Cedar LN
Suite 4
Teaneck, NJ 07666-1739
Phone (201) 836-0659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 22, 2019 through Jul 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2035500NJMDGeneral Practice Dentistry
042900NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629057328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CEDAR LN",
            "address_2": "SUITE 4",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661739",
            "telephone_number": "201-836-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CEDAR LN",
            "address_2": "SUITE 4",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661739",
            "telephone_number": "201-836-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLER",
        "first_name": "SHALOM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "2035500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.