Active NPI
Douglas Gelber, DMD
- General Practice Dentistry
- Hackensack, NJ
National Provider Identifier
1992883813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22D101731800
- Practice address
- 214 State Street
2ND Floor Hackensack Dental Associates
Hackensack, NJ 07601 - Phone
- (201) 342-2270
- Fax
- (201) 342-2244
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22D101731800 | NJ | Primary |
Addresses
Primary practice location
214 State Street
2ND Floor Hackensack Dental Associates
Hackensack, NJ 07601
Mailing address
214 State Street
2ND Floor Hackensack Dental Associates
Hackensack, NJ 07601
Phone (201) 342-2270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D101731800 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992883813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 STATE STREET",
"address_2": "2ND FLOOR HACKENSACK DENTAL ASSOCIATES",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-342-2270",
"fax_number": "201-342-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 STATE STREET",
"address_2": "2ND FLOOR HACKENSACK DENTAL ASSOCIATES",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-342-2270",
"fax_number": "201-342-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELBER",
"first_name": "DOUGLAS",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22D101731800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.