David L Sykes, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D1012389 Issued in NJ

Practice address

524 Maple Ave
Linwood, NJ 08221-1213

Phone

(609) 653-6300

Fax

(609) 653-4204

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24521/brand/1/csg/1/fhir/r4

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.

• Linwood Internal Medicine Corp

  • Internal Medicine Physician
  • Linwood, NJ
  • NPI 1225705775
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1629075460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 MAPLE AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211213",
            "telephone_number": "609-653-6300",
            "fax_number": "609-653-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 MAPLE AVE",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211213",
            "telephone_number": "609-653-6300",
            "fax_number": "609-653-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "D1012389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ TAX ID#",
            "identifier": "222318110",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ DENTAL LICENSE",
            "identifier": "D1012389",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2993805",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2993805-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Sullivan, LSW LCADC ICGC-1
• Sunil K. Singh, MD, PA
• Surfside Psychiatry
• Surgery Center of Linwood LLC
• David O Sussman, D.O.
• Diane S Sylvia, LCSW
• Laura Szerbin, MS, CCC-SLP
• Talent Homecare Agency Corp
• Cloey Ann Talotta, PSY.D
• Jennifer M Tartaro, OTR

• Oral and Maxillofacial Surgery (Dentist) in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.