Individual provider Active NPI

Teresa Bijak, D.M.D.

  • General Practice Dentistry
  • Manville, NJ
National Provider Identifier
1811906688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI 20390 Issued in NJ
Practice address
311 S Main St
Manville, NJ 08835-1840
Phone
(908) 253-3660
NPI assigned
Aug 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI 20390 NJ Primary

Addresses

Primary practice location

311 S Main St
Manville, NJ 08835-1840

Mailing address

311 S Main St
Manville, NJ 08835-1840
Phone (908) 253-3660

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190617002837 NJ Order and Referring Only - DentistPractitioner - Dentist 4284967613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI 20390NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Dental Associates, L.L.C General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811906688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S MAIN ST",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351840",
            "telephone_number": "908-253-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MAIN ST",
            "city": "MANVILLE",
            "state": "NJ",
            "postal_code": "088351840",
            "telephone_number": "908-253-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIJAK",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI 20390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manville, NJ

Sources for this page

Verify at the official NPI Registry.