Individual provider Active NPI

George A Dawson, MD

  • Therapeutic Radiology Physician
  • Totowa, NJ
National Provider Identifier
1629157482
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
MA57676 Issued in NJ
Practice address
785 Totowa Rd
Totowa, NJ 07512-1517
Phone
(973) 904-0890
Fax
(973) 904-0695
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X MA57676 NJ Primary

Addresses

Primary practice location

785 Totowa Rd
Totowa, NJ 07512-1517

Mailing address

785 Totowa Rd
Totowa, NJ 07512-1517
Phone (973) 904-0890

Other identifiers 1

IdentifierTypeStateIssuer
5418909MedicaidNJ

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA57676NJMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ariston Radiology Associates, L,L,C. Past Accepting new patients
Montclair Anesthesia Associates, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629157482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 TOTOWA RD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121517",
            "telephone_number": "973-904-0890",
            "fax_number": "973-904-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 TOTOWA RD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121517",
            "telephone_number": "973-904-0890",
            "fax_number": "973-904-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "GEORGE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NJ",
            "license": "MA57676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5418909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

Verify at the official NPI Registry.