NPIMap

Organization Active NPI

Stuart a Wasserlauf DDS PA

  • Dentist
  • West Deptford, NJ
National Provider Identifier
1881735702
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14133 Issued in NJ
Legal business name
STUART A WASSERLAUF DDS PA
Practice address
776 Grove Rd
West Deptford, NJ 08086
Phone
(856) 848-2211
Fax
(856) 848-8630
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Dr. Anthony J Kash Jr., DMDNPI 1750577227
Title
Dentist/Owner/Partner
Phone
(856) 848-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 14133 NJ Primary

Addresses

Primary practice location

776 Grove Rd
West Deptford, NJ 08086

Mailing address

776 Grove Rd
West Deptford, NJ 08086
Phone (856) 848-2211

Other identifiers 1

IdentifierTypeStateIssuer
2618605MedicaidNJ

National Provider Directory

National Provider Directory

Locations

776 Grove Rd
West Deptford, NJ 08086
Phone (856) 848-2211

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1881735702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 GROVE RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08086",
            "telephone_number": "856-848-2211",
            "fax_number": "856-848-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 GROVE RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08086",
            "telephone_number": "856-848-2211",
            "fax_number": "856-848-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART A WASSERLAUF DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "KASH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER/PARTNER",
        "authorized_official_telephone_number": "856-848-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "14133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2618605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.