Individual provider Active NPI

Stephen D Conway, D.D.S.

  • General Practice Dentistry
  • Willingboro, NJ
National Provider Identifier
1891884730
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13093 Issued in NJ
Practice address
215 Sunset Rd
Suite 200
Willingboro, NJ 08046-1108
Phone
(609) 877-1330
Fax
(609) 877-8313
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

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 13093 NJ Primary

Addresses

Primary practice location

215 Sunset Rd
Suite 200
Willingboro, NJ 08046-1108

Mailing address

215 Sunset Rd
Suite 200
Willingboro, NJ 08046-1108
Phone (609) 877-1330

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
I20150629002082 NJ Order and Referring Only - DentistPractitioner - Dentist 3274845557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13093NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Dental Assoc PA General Practice Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891884730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SUNSET RD",
            "address_2": "SUITE 200",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461108",
            "telephone_number": "609-877-1330",
            "fax_number": "609-877-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SUNSET RD",
            "address_2": "SUITE 200",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461108",
            "telephone_number": "609-877-1330",
            "fax_number": "609-877-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "13093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

Verify at the official NPI Registry.