Active NPI
Mark Alan Schachman, DMD
- Endodontics
- Florham Park, NJ
National Provider Identifier
1871664201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 22DIO1629900
- Practice address
- 256 Columbia Turnpike
Suite 205 South Tower
Florham Park, NJ 07932 - Phone
- (973) 765-0011
- Fax
- (973) 965-9276
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 22DIO1629900 | NJ | Primary |
Addresses
Primary practice location
256 Columbia Turnpike
Suite 205 South Tower
Florham Park, NJ 07932
Mailing address
256 Columbia Turnpike
Suite 205 South Tower
Florham Park, NJ 07932
Phone (973) 765-0011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DIO1629900 | NJ | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| University of Kentucky | Endodontics | Current | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
770 Rose St
Lexington, KY 40536
Phone (859) 323-3368
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1871664201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 COLUMBIA TURNPIKE",
"address_2": "SUITE 205 SOUTH TOWER",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "07932",
"telephone_number": "973-765-0011",
"fax_number": "973-965-9276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 COLUMBIA TURNPIKE",
"address_2": "SUITE 205 SOUTH TOWER",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "07932",
"telephone_number": "973-765-0011",
"fax_number": "973-965-9276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHACHMAN",
"first_name": "MARK",
"middle_name": "ALAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "22DIO1629900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.