Individual provider Active NPI

Harleen Kaur, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Denville, NJ
National Provider Identifier
1902293897
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22D1O2748300 Issued in NJ
Practice address
1 Indian Rd Ste 7
Denville, NJ 07834-2000
Phone
(973) 625-4220
NPI assigned
Apr 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS040497 PA
Student in an Organized Health Care Education/Training Program 390200000X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22D1O2748300 NJ Primary

Addresses

Primary practice location

1 Indian Rd Ste 7
Denville, NJ 07834-2000

Mailing address

1 Indian Rd Ste 7
Denville, NJ 07834-2000
Phone (973) 625-4220

Other practice location 1

909 Walnut St
Clinical Office Building, Third Floor
Philadelphia, PA 19107-5211
Phone (973) 432-6898

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827002794 NJ Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 3476862129 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D1O2748300NJMDOral and Maxillofacial Surgery (Dentist)
DS040497PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery Associates of Denville CurrentSince May 9, 2021 Accepting new patients
Elbaum, Krost & Elbaum, DDS, PA Oral and Maxillofacial Surgery CurrentSince Aug 17, 2020 Accepting new patients

Locations

1 Indian Rd
Ste 7
Denville, NJ 07834
Phone (973) 625-4220

1 Bethany Rd
Ste 51
Hazlet, NJ 07730
Phone (732) 264-6114

688 Brewers Bridge Rd
Jackson, NJ 08527
Phone (732) 942-6900

1125 State Route 35
Ocean, NJ 07712
Phone (732) 531-8700

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": "1429401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1902293897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDIAN RD STE 7",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342000",
            "telephone_number": "973-625-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDIAN RD STE 7",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342000",
            "telephone_number": "973-625-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Walnut St",
            "address_2": "Clinical Office Building, Third Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075211",
            "country_code": "US",
            "telephone_number": "973-432-6898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "HARLEEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040497",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22D1O2748300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.