Individual provider Active NPI

Scott Maslow, DMD

  • General Practice Dentistry
  • Wildwood Crest, NJ
National Provider Identifier
1831271659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12756 Issued in NJ
Practice address
9850 Pacific Ave
Wildwood Crest, NJ 08260-3213
Phone
(609) 522-3145
Fax
(609) 522-9008
NPI assigned
Oct 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
General Practice Dentistry 1223G0001X 12756 NJ Primary

Addresses

Primary practice location

9850 Pacific Ave
Wildwood Crest, NJ 08260-3213

Mailing address

9850 Pacific Ave
Wildwood Crest, NJ 08260-3213
Phone (609) 522-3145

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
I20150528001633 NJ Order and Referring Only - DentistPractitioner - Dentist 5395065692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12756NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond Beach Dental PastSince Jan 1, 1989 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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831271659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 PACIFIC AVE",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082603213",
            "telephone_number": "609-522-3145",
            "fax_number": "609-522-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 PACIFIC AVE",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082603213",
            "telephone_number": "609-522-3145",
            "fax_number": "609-522-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLOW",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "12756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood Crest, NJ

Sources for this page

Verify at the official NPI Registry.