Active NPI
Stephen I Hudis, DDS
- Prosthodontics
- Princeton, NJ
National Provider Identifier
1659414902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DI014556
- Practice address
- 187 N Harrison St
Princeton, NJ 08540-3517 - Phone
- (609) 924-7910
- Fax
- (609) 924-8036
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DI014556 | NJ | Primary |
Addresses
Primary practice location
187 N Harrison St
Princeton, NJ 08540-3517
Mailing address
187 N Harrison St
Princeton, NJ 08540-3517
Phone (609) 924-7910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI014556 | NJ | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Restorative & Implant Dentistry LLC | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prosthodontics
- Princeton, NJ
- NPI 1033414560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659414902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 N HARRISON ST",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403517",
"telephone_number": "609-924-7910",
"fax_number": "609-924-8036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 N HARRISON ST",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085403517",
"telephone_number": "609-924-7910",
"fax_number": "609-924-8036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDIS",
"first_name": "STEPHEN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "DI014556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.