Dominic Pisano, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI009476 Issued in NJ

Practice address

70 Lacey Rd
Whiting, NJ 08759-2931

Phone

(732) 350-7999

Fax

(732) 350-7961

NPI assigned

Jun 10, 2008

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1003076589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LACEY RD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592931",
            "telephone_number": "732-350-7999",
            "fax_number": "732-350-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LACEY RD",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592931",
            "telephone_number": "732-350-7999",
            "fax_number": "732-350-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANO",
        "first_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI009476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry R Perlman, DMD
• Hillary Petetti
• Mary Kathleen Pettrow, BA
• Pines Village, Inc.
• Pines Village, Inc. (The Pines at Whiting)
• Tina Marie Pryor, PMHNP-BC
• Rajshil LLC (Medicine Shoppe)
• Adrian Reyes Ramos, FNP-C
• Rem New Jersey, Inc.
• Lauren Resnick, DPT

• General Practice Dentistry in Whiting, NJ
• Providers in Whiting, 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 Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.