Individual provider Active NPI

George J Schmidt Jr., DMD

  • Dentist
  • Cedar Knolls, NJ
National Provider Identifier
1902948573
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI020415 Issued in NJ
Practice address
197 Ridegdale Ave
Suite 245
Cedar Knolls, NJ 07927
Phone
(973) 889-1900
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054667-1 NY
Dentist 122300000X DI020415 NJ Primary

Addresses

Primary practice location

197 Ridegdale Ave
Suite 245
Cedar Knolls, NJ 07927

Mailing address

197 Ridegdale Ave
Suite 245
Cedar Knolls, NJ 07927
Phone (973) 889-1900

Other practice location 1

57 Whippany RD
Whippany, NJ 07981
Phone (973) 887-6585

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
I20150630000733 NJ Order and Referring Only - DentistPractitioner - Dentist 9537471875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI020415NJMDDentist
054667-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dental Center of Cedar Knolls PA CurrentSince Feb 1, 2015 Accepting new patients

Locations

197 Ridgedale Ave
Ste 245
Cedar Knolls, NJ 07927
Phone (973) 889-1900

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1902948573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 RIDEGDALE AVE",
            "address_2": "SUITE 245",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "07927",
            "telephone_number": "973-889-1900",
            "fax_number": "973-887-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIDEGDALE AVE",
            "address_2": "SUITE 245",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "07927",
            "telephone_number": "973-889-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Whippany RD",
            "address_purpose": "LOCATION",
            "city": "Whippany",
            "state": "NJ",
            "postal_code": "07981",
            "country_code": "US",
            "telephone_number": "973-887-6585",
            "fax_number": "973-887-4669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054667-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI020415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.