Active NPI
Patrice Renee Schoenbrun, D.D.S.
- General Practice Dentistry
- Fair Lawn, NJ
National Provider Identifier
1811068448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14148
- Practice address
- 5-21 Saddle River Rd
Fair Lawn, NJ 07410-5609 - Phone
- (201) 791-2400
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14148 | NJ | Primary |
Addresses
Primary practice location
5-21 Saddle River Rd
Fair Lawn, NJ 07410-5609
Mailing address
10-12 Fairhaven PL
Fair Lawn, NJ 07410-1682
Phone (201) 794-9117
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 |
|---|---|---|---|
| 14148 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811068448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10-12 FAIRHAVEN PL",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101682",
"telephone_number": "201-794-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5-21 SADDLE RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105609",
"telephone_number": "201-791-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENBRUN",
"first_name": "PATRICE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "14148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- 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.