Individual provider Active NPI

Bruce James Mulder, D.M.D.

  • General Practice Dentistry
  • Franklin Lakes, NJ
National Provider Identifier
1952378234
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13284 Issued in NJ
Practice address
777 Franklin Ave
Suite 1
Franklin Lakes, NJ 07417-1308
Phone
(201) 891-3070
Fax
(201) 891-2977
NPI assigned
Mar 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 13284 NJ Primary

Addresses

Primary practice location

777 Franklin Ave
Suite 1
Franklin Lakes, NJ 07417-1308

Mailing address

777 Franklin Ave
Suite 1
Franklin Lakes, NJ 07417-1308
Phone (201) 891-3070

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
I20150521000523 NJ Order and Referring Only - DentistPractitioner - Dentist 1355661992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13284NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952378234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 FRANKLIN AVE",
            "address_2": "SUITE 1",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171308",
            "telephone_number": "201-891-3070",
            "fax_number": "201-891-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 FRANKLIN AVE",
            "address_2": "SUITE 1",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171308",
            "telephone_number": "201-891-3070",
            "fax_number": "201-891-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDER",
        "first_name": "BRUCE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "13284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

Verify at the official NPI Registry.