Individual provider Active NPI

Seymour Koslowsky, D.D.S.

  • General Practice Dentistry
  • Westfield, NJ
National Provider Identifier
1629120647
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI 00883400 Issued in NJ
Practice address
500 Dorian Rd
Westfield, NJ 07090-3368
Phone
(908) 654-3545
Fax
(908) 654-3724
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
General Practice Dentistry 1223G0001X 22DI 00883400 NJ Primary

Addresses

Primary practice location

500 Dorian Rd
Westfield, NJ 07090-3368

Mailing address

500 Dorian Rd
Westfield, NJ 07090-3368
Phone (908) 654-3545

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 Mar 1, 2016 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI 00883400NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629120647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DORIAN RD",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903368",
            "telephone_number": "908-654-3545",
            "fax_number": "908-654-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DORIAN RD",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903368",
            "telephone_number": "908-654-3545",
            "fax_number": "908-654-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSLOWSKY",
        "first_name": "SEYMOUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI 00883400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.