Individual provider Active NPI

Marc David Schlenoff, DDS

  • Dentist
  • McAfee, NJ
National Provider Identifier
1831257708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14469 Issued in NJ
Practice address
Vernon Colonial Plaza
McAfee, NJ 07428
Phone
(973) 209-4944
Fax
(973) 209-1309
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 14469 NJ Primary

Addresses

Primary practice location

Vernon Colonial Plaza
McAfee, NJ 07428

Mailing address

PO Box 1410
Vernon Colonial Plaza
McAfee, NJ 07428
Phone (973) 209-4944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160908001302 NY Order and Referring Only - DentistPractitioner - Dentist 9032405667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14469NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831257708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "address_2": "VERNON COLONIAL PLAZA",
            "city": "MCAFEE",
            "state": "NJ",
            "postal_code": "07428",
            "telephone_number": "973-209-4944",
            "fax_number": "973-209-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VERNON COLONIAL PLAZA",
            "city": "MCAFEE",
            "state": "NJ",
            "postal_code": "07428",
            "telephone_number": "973-209-4944",
            "fax_number": "973-209-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLENOFF",
        "first_name": "MARC",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "14469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAfee, NJ

Sources for this page

Verify at the official NPI Registry.