1487723136 NPI number — DR. STEVEN E SCHULHOF DMD, MD

Table of content: DR. STEVEN E SCHULHOF DMD, MD (NPI 1487723136)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487723136 NPI number — DR. STEVEN E SCHULHOF DMD, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHULHOF
Provider First Name:
STEVEN
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD, MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487723136
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/26/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
315 CEDAR LN
Provider Second Line Business Mailing Address:
2ND FL
Provider Business Mailing Address City Name:
TEANECK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07666-3442
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-692-7737
Provider Business Mailing Address Fax Number:
201-287-9716

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
315 CEDAR LN
Provider Second Line Business Practice Location Address:
2ND FL
Provider Business Practice Location Address City Name:
TEANECK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07666-3442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-692-7737
Provider Business Practice Location Address Fax Number:
201-287-9716
Provider Enumeration Date:
11/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X , with the licence number:  22DI02231200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1955503 . This is a "UNITED CONCORDIA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0007320862 . This is a "AETNA DENTAL PPO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P3697569 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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