Marc Mehlman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15236 Issued in NJ

Legal business name

MARC MEHLMAN

Practice address

1029 Sycamore Ave
Tinton Falls, NJ 07724-3181

Phone

(732) 542-4433

Fax

(732) 389-0304

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marc Mehlman, DMD

Title

President

Phone

(732) 542-4433

Specialties & licenses 2

Addresses

Other names 1

• Tinton Falls Dental Associates PA Doing business as

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1851423461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 HOPE RD",
            "address_2": "BLDG 5",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241278",
            "telephone_number": "732-542-4433",
            "fax_number": "732-389-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 SYCAMORE AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243181",
            "telephone_number": "732-542-4433",
            "fax_number": "732-389-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC MEHLMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "MEHLMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-542-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "15236",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "14142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tinton Falls Dental Associates PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Thomas Manganaro, MD
• Shital V Mani, OD
• Luke Manjooran
• Jennifer Manner, LPC
• Adil Manzoor, D.O
• Lance A Markbreiter, M.D.
• Cynthia Massagli, P.T.
• Kristina Lee Matthews, PA-C
• Maximum Care Ambulance Service
• Cameron A. Mazzeo, LCSW, LICSW

• General Practice Dentistry in Tinton Falls, NJ
• Providers in Tinton Falls, 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 Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.