Individual provider Active NPI

Mark Saul Lipkovitz, DMD

  • Dentist
  • River Edge, NJ
National Provider Identifier
1922212935
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01529400 Issued in NJ
Practice address
287 Bogert Rd Apt 2B
River Edge, NJ 07661-1866
Phone
(201) 444-9940
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI01529400 NJ Primary

Addresses

Primary practice location

287 Bogert Rd Apt 2B
River Edge, NJ 07661-1866

Mailing address

287 Bogert Rd Apt 2B
River Edge, NJ 07661-1866
Phone (201) 444-9940

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
I20170202002410 NJ Order and Referring Only - DentistPractitioner - Dentist 7214210913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01529400NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1922212935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 BOGERT RD APT 2B",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611866",
            "telephone_number": "201-444-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 BOGERT RD APT 2B",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611866",
            "telephone_number": "201-444-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPKOVITZ",
        "first_name": "MARK",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01529400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

Verify at the official NPI Registry.