Edward B Poller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI017432 Issued in NJ

Practice address

1144 Hooper Ave
Suite 201 B
Toms River, NJ 08753-8361

Phone

(732) 914-1039

Fax

(732) 914-8472

NPI assigned

Dec 20, 2005

Last updated

May 3, 2010By 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 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Crestwood Family Dental

  • General Practice Dentistry
  • Whiting, NJ
  • NPI 1215913900
  Authorized official Same address or phone
• Cross Keys Family Dental PA

  • General Practice Dentistry
  • Turnersville, NJ
  • NPI 1710171590
  Authorized official Same address or phone
• Deptford Family Dental PA

  • Dentist
  • Deptford, NJ
  • NPI 1528207198
  Authorized official Same address or phone
• Family Dentistry of Allentown, P.C.

  • General Practice Dentistry
  • Allentown, PA
  • NPI 1285066373
  Authorized official Same address or phone

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1780660803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 HOOPER AVE",
            "address_2": "SUITE 201 B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538361",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 HOOPER AVE",
            "address_2": "SUITE 201 B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538361",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLER",
        "first_name": "EDWARD",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI017432",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Albert Plump, D.C.
• Nicole Pniewski
• Vanessa L Pohl, MD
• Yarilyn Polanco
• Tatyana Poll, PA-C
• Stephanie Lynn Polperio, MSN, ACNPC-AG
• Svitlana Pominov, MD
• Ajit P Ponnambalam, MD
• Anil R Ponnambalam, MD
• Michael Ponticello

• General Practice Dentistry in Toms River, NJ
• Providers in Toms River, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.