Organization Active NPI

Matthew Eichen DMD, PA

  • Oral and Maxillofacial Pathology Dentistry
  • Cherry Hill, NJ
National Provider Identifier
1649261033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
17335 Issued in NJ
Legal business name
MATTHEW EICHEN DMD, PA
Practice address
17 W Ormond Ave
Cherry Hill, NJ 08002-3041
Phone
(856) 428-4445
Fax
(856) 428-4497
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Matthew Eichen, DMD
Title
Owner President
Phone
(856) 428-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 17335 NJ Primary

Addresses

Primary practice location

17 W Ormond Ave
Cherry Hill, NJ 08002-3041

Mailing address

17 W Ormond Ave
Cherry Hill, NJ 08002-3041
Phone (856) 428-4445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649261033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W ORMOND AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023041",
            "telephone_number": "856-428-4445",
            "fax_number": "856-428-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W ORMOND AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023041",
            "telephone_number": "856-428-4445",
            "fax_number": "856-428-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW EICHEN DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EICHEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "856-428-4445",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NJ",
            "license": "17335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.