Individual provider Active NPI

Thomas James Sniscak, D.M.D.

  • Dentist
  • South Plainfield, NJ
National Provider Identifier
1639470735
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02454600 Issued in NJ
Practice address
313 Mill St
South Plainfield, NJ 07080-3423
Phone
(908) 561-6290
NPI assigned
Nov 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02454600 NJ Primary

Addresses

Primary practice location

313 Mill St
South Plainfield, NJ 07080-3423

Mailing address

313 Mill St
South Plainfield, NJ 07080-3423
Phone (908) 561-6290

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
I20150731014443 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244544591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1639470735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MILL ST",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070803423",
            "telephone_number": "908-561-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MILL ST",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070803423",
            "telephone_number": "908-561-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNISCAK",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02454600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.