Stephen Michael Kwitnicki, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI14963 Issued in NJ

Practice address

934 Stuyvesant Avenue
Suite #7
Union, NJ 07083

Phone

(908) 688-1160

Fax

(908) 688-6794

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1831240415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 STUYVESANT AVENUE",
            "address_2": "SUITE #7",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-688-1160",
            "fax_number": "908-688-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 STUYVESANT AVENUE",
            "address_2": "SUITE #7",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-688-1160",
            "fax_number": "908-688-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWITNICKI",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI14963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Kumar
• Geri Kunnath
• Kushman Chiropractic Plus, LLC
• Joseph Kushman, DC
• Kenneth S. Kwiatek, D.M.D.
• Keith Labadie Jr., BA
• Imelda Bolano Laborce, LPN
• Ermide C Ladouceur
• Edward Samuel Laduca, HEARING AID DISPENSE
• Lakewood Pathology Associates, Inc.

• General Practice Dentistry in Union, NJ
• Providers in Union, 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 Sep 24, 2012; 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.