Active NPI
Stephen D Yaremczak, D.M.D.
- Dentist
- Woodbridge, NJ
National Provider Identifier
1710135264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI01522800
- Practice address
- 850 Woodbridge Ctr Dr
Woodbridge, NJ 07095-1324 - Phone
- (732) 636-3220
- Fax
- (732) 636-2269
- NPI assigned
- Sep 8, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI01522800 | NJ | Primary |
Addresses
Primary practice location
850 Woodbridge Ctr Dr
Woodbridge, NJ 07095-1324
Mailing address
850 Woodbridge Ctr Dr
Woodbridge, NJ 07095-1324
Phone (732) 636-3220
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI01522800 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John M Pogoda DMD and Stephen D Yaremczak DMD PA | Dentist | 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.
-
- General Practice Dentistry
- Woodbridge, NJ
- NPI 1982753943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1710135264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 WOODBRIDGE CTR DR",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951324",
"telephone_number": "732-636-3220",
"fax_number": "732-636-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 WOODBRIDGE CTR DR",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951324",
"telephone_number": "732-636-3220",
"fax_number": "732-636-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAREMCZAK",
"first_name": "STEPHEN",
"middle_name": "D",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI01522800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.