Mark Dennis Sheklian, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15140 Issued in NJ

Practice address

54 Broad St
Manasquan, NJ 08736-2907

Phone

(732) 223-8833

Fax

(732) 223-2542

NPI assigned

Mar 21, 2007

Last updated

May 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark D Sheklian, DMD, PA

  • General Practice Dentistry
  • Sea Girt, NJ
  • NPI 1184743908
  NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1942325386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BROAD ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362907",
            "telephone_number": "732-223-8833",
            "fax_number": "732-223-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BROAD ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362907",
            "telephone_number": "732-223-8833",
            "fax_number": "732-223-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKLIAN",
        "first_name": "MARK",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "15140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark M Seckler, M.D.
• Sandra Ann Sessa, PH.D
• Carly Sestrich, OTR/L
• Sydney Shakespeare, DPM
• Sharon I. Monter, DPM, LLC
• Shivendra Pandey MD PC
• Shore Family Eyecare, PA
• Shore Health and Rehab Products Inc (Carlton Surgical Supply)
• Shore Point Counseling LLC
• Shore Psychology Associates, LLC

• General Practice Dentistry in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.