Individual provider Active NPI

Seth Michael Dannis, M.D.

  • Neurological Surgery Physician
  • Montclair, NJ
National Provider Identifier
1710184064
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA08598000 Issued in NJ
Practice address
96 Gates Ave
Montclair, NJ 07042-2511
Phone
(973) 744-3166
Fax
(973) 744-3199
NPI assigned
Jun 29, 2007
Last updated
Jun 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA08598000 NJ Primary

Addresses

Primary practice location

96 Gates Ave
Montclair, NJ 07042-2511

Mailing address

96 Gates Ave
Montclair, NJ 07042-2511
Phone (973) 744-3166

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090824000429 NJ Practitioner - Neurosurgery 0648324764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recover Pro Medical and WellnessGroup PAC ID 3274027057, 8 clinicians

Practice addresses (Care Compare)

311 Spotswoo-Englishtown Rd
Monroe, NJ 08831-8627
Phone (732) 251-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08598000NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wound Care of New Jersey LLC CurrentSince Apr 17, 2023 Accepting new patients
Recover Pro Medical & Wellness CurrentSince Jan 17, 2026 Accepting new patients

Locations

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Organizations & group practices 2

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1710184064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 GATES AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422511",
            "telephone_number": "973-744-3166",
            "fax_number": "973-744-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 GATES AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422511",
            "telephone_number": "973-744-3166",
            "fax_number": "973-744-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNIS",
        "first_name": "SETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA08598000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.