Individual provider Active NPI

Robert D Lefkowitz, DDS

  • Dentist
  • MC Guire Afb, NJ
National Provider Identifier
1801881099
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI14489 Issued in NJ
Practice address
2417 McGuire Blvd
305TH Dental Squadron
MC Guire Afb, NJ 08641-5118
Phone
(609) 754-3786
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI14489 NJ Primary

Addresses

Primary practice location

2417 McGuire Blvd
305TH Dental Squadron
MC Guire Afb, NJ 08641-5118

Mailing address

2417 McGuire Blvd
305TH Dental Squadron
MC Guire Afb, NJ 08641-5118
Phone (609) 754-3786

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

LicenseStateTypeSpecialty
DI14489NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1801881099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 MCGUIRE BLVD",
            "address_2": "305TH DENTAL SQUADRON",
            "city": "MC GUIRE AFB",
            "state": "NJ",
            "postal_code": "086415118",
            "telephone_number": "609-754-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 MCGUIRE BLVD",
            "address_2": "305TH DENTAL SQUADRON",
            "city": "MC GUIRE AFB",
            "state": "NJ",
            "postal_code": "086415118",
            "telephone_number": "609-754-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFKOWITZ",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI14489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Guire Afb, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.