Individual provider Active NPI

Kenneth J Oskowiak, D.M.D.

  • General Practice Dentistry
  • Voorhees, NJ
National Provider Identifier
1689001794
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01747200 Issued in NJ
Practice address
19 E Evesham Rd
Voorhees, NJ 08043-1168
Phone
(856) 428-1598
Fax
(856) 428-1305
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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 22DI01747200 NJ Primary

Addresses

Primary practice location

19 E Evesham Rd
Voorhees, NJ 08043-1168

Mailing address

19 E Evesham Rd
Voorhees, NJ 08043-1168
Phone (856) 428-1598

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
I20160202002003 NJ Order and Referring Only - DentistPractitioner - Dentist 7214231851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01747200NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth J. Oskowiak & Associates, DMD,PC General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1689001794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E EVESHAM RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431168",
            "telephone_number": "856-428-1598",
            "fax_number": "856-428-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E EVESHAM RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431168",
            "telephone_number": "856-428-1598",
            "fax_number": "856-428-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSKOWIAK",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01747200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.