Individual provider Active NPI

Mark Alan Schachman, DMD

  • Endodontics
  • Florham Park, NJ
National Provider Identifier
1871664201
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22DIO1629900 Issued in NJ
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

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181011002992 KY Practitioner - Dentist 0244541704 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DIO1629900NJMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Sep 19, 2018 Accepting new patients
University of Kentucky Endodontics CurrentSince Sep 19, 2018 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.

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

Verify at the official NPI Registry.