Mark R Johnson,DDS,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7937 Issued in NJ

Legal business name

MARK R JOHNSON,DDS,PA

Practice address

335 Old Tappan Rd
Old Tappan, NJ 07675-6805

Phone

(201) 666-2444

Fax

(201) 666-2444

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark R Johnson, DDS

Title

President

Phone

(201) 666-2444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790826360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 OLD TAPPAN RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076756805",
            "telephone_number": "201-666-2444",
            "fax_number": "201-666-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 OLD TAPPAN RD",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076756805",
            "telephone_number": "201-666-2444",
            "fax_number": "201-666-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R JOHNSON,DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-666-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "7937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay M Lepore, DMD
• Hongsoon Lim, D.C
• Janet Lim
• Jessica E Luba
• Madison Physical Therapy Limited Partnership
• Andrea M Mattia, D.D.S.
• MC Schettino MD
• MF Consulting , Inc .
• Kristen E Miceli, SLP
• Lisania Iris Milli, PHD, WHNP-BC

• General Practice Dentistry in Old Tappan, NJ
• Providers in Old Tappan, 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 Aug 22, 2020; 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.