Individual provider Active NPI

Kimberly Tauber, DMD

  • General Practice Dentistry
  • Long Valley, NJ
National Provider Identifier
1669597399
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
02283800 Issued in NJ
Practice address
59 E Mill Rd
Sutie 2-2034
Long Valley, NJ 07853-6215
Phone
(908) 876-5225
Fax
(908) 876-1062
NPI assigned
Mar 20, 2007
Sex
Female
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 02283800 NJ Primary

Addresses

Primary practice location

59 E Mill Rd
Sutie 2-2034
Long Valley, NJ 07853-6215

Mailing address

6 Stratton CT
Sparta, NJ 07871-1538
Phone (973) 729-2242

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
I20160322000350 NJ Order and Referring Only - DentistPractitioner - Dentist 4284931155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02283800NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Goodkin & Pilek Family Dentistry, LLC General Practice PastSince Aug 9, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669597399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STRATTON CT",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711538",
            "telephone_number": "973-729-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E MILL RD",
            "address_2": "SUTIE 2-2034",
            "city": "LONG VALLEY",
            "state": "NJ",
            "postal_code": "078536215",
            "telephone_number": "908-876-5225",
            "fax_number": "908-876-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUBER",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "02283800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Valley, NJ

Sources for this page

Verify at the official NPI Registry.