Individual provider Active NPI

Saul Howard Lejtman, D.M.D.

  • General Practice Dentistry
  • Tenafly, NJ
National Provider Identifier
1962533158
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI017945 Issued in NJ
Practice address
120 County Rd
Suite 203
Tenafly, NJ 07670-1854
Phone
(201) 568-1190
Fax
(201) 568-0558
NPI assigned
Mar 8, 2007
Last updated
Jan 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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 DI017945 NJ Primary
General Practice Dentistry 1223G0001X 044018-1 NY

Addresses

Primary practice location

120 County Rd
Suite 203
Tenafly, NJ 07670-1854

Mailing address

120 County Rd
Suite 203
Tenafly, NJ 07670-1854
Phone (201) 568-1190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240328003955 NY Order and Referring Only - DentistPractitioner - Dentist 2466890272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI017945NJMDGeneral Practice Dentistry
044018-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Saul H. Lejtman D.M.D., P.a. General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1962533158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 COUNTY RD",
            "address_2": "SUITE 203",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701854",
            "telephone_number": "201-568-1190",
            "fax_number": "201-568-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 COUNTY RD",
            "address_2": "SUITE 203",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701854",
            "telephone_number": "201-568-1190",
            "fax_number": "201-568-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEJTMAN",
        "first_name": "SAUL",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI017945",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044018-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

Verify at the official NPI Registry.