Active NPI
Michael Margolin, D.M.D
- General Practice Dentistry
- Englewood Cliffs, NJ
National Provider Identifier
1720129919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 17428
- Practice address
- 620 E Palisade Ave
Englewood Cliffs, NJ 07632-1801 - Phone
- (201) 567-0405
- Fax
- (201) 541-7070
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 057157-1 | NY | |
| General Practice Dentistry | 1223G0001X | 17428 | NJ | Primary |
Addresses
Primary practice location
620 E Palisade Ave
Englewood Cliffs, NJ 07632-1801
Mailing address
620 E Palisade Ave
Englewood Cliffs, NJ 07632-1801
Phone (201) 567-0405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223067558 | Other | NJ | TAX ID |
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 |
|---|---|---|---|
| 057157-1 | NY | MD | Dentist |
| 17428 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Margolin Dental Associates | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Englewood Cliffs, NJ
- NPI 1326161928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1720129919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 E PALISADE AVE",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076321801",
"telephone_number": "201-567-0405",
"fax_number": "201-541-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 E PALISADE AVE",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076321801",
"telephone_number": "201-567-0405",
"fax_number": "201-541-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIN",
"first_name": "MICHAEL",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "057157-1",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "17428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "223067558",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.