Samuel P Mufson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

17805 Issued in NJ

Practice address

595 Chestnut Ridge Rd
Suite 1
Woodcliff Lake, NJ 07677-7663

Phone

(201) 391-4466

Fax

(201) 391-0422

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chestnut Ridge Dental Associates P.a.

  • General Practice Dentistry
  • Woodcliff Lake, NJ
  • NPI 1346396876
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770629776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHESTNUT RIDGE RD",
            "address_2": "SUITE 1",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "07677",
            "telephone_number": "201-784-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHESTNUT RIDGE RD",
            "address_2": "SUITE 1",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777663",
            "telephone_number": "201-391-4466",
            "fax_number": "201-391-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFSON",
        "first_name": "SAMUEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "17805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Betsy, M.D. Orthopaedic Surgery and Sports Medicine, L.L.C.
• Lenore Millian, PH.D.
• Randy Mintz, RD
• Sharon Molano, RPH
• Mark Monane, MD
• Louis M Muggeo, PSY.D.
• Alyssa Natale, DPT
• Veronica K. Nealis, MS, LPC, NCC
• Next Level Sports Physical Therapy, LLC
• NL Rehab & Performance, LLC

• Dentist in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.