Vincent Michael Debitetto

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI03028500 Issued in NJ

Practice address

18-00 Fair Lawn Ave
Fair Lawn, NJ 07410-2330

Phone

(551) 286-3040

NPI assigned

Feb 16, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 18-00 Fla Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Fair Lawn, NJ
  • NPI 1396616777
  NPD Authorized official
• Queensboro Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Flushing, NY
  • NPI 1790020584
  NPD (past)
• Stratford Family Dental PC

  • General Practice Dentistry
  • Stratford, CT
  • NPI 1518482561

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1003449216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SOUNDVIEW DR",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107091526",
            "telephone_number": "914-473-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-00 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102330",
            "telephone_number": "551-286-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2261 Broadbridge Ave",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066143860",
            "country_code": "US",
            "telephone_number": "203-375-4633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7015 164th St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113654218",
            "country_code": "US",
            "telephone_number": "718-263-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBITETTO",
        "first_name": "VINCENT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-16",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "13923",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI03028500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vdebitetto@gmail.com",
            "affiliation": "N",
            "address_1": "18-00 Fair Lawn Ave",
            "city": "Fair Lawn",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074102330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ericarmen De Leon
• Jessica Lynn De Palma, P.T.
• Valerie De Torres, LCSW
• Lashauna Dean, PH.D.
• Fritzie Concepcion Deang, PT
• Debra Ibrahim, D.O., LLC
• Deepak Srinivasan, P.C.
• Courtney Jean Defeo, ATC
• Justina M Deitz, D.O.
• Matthew Delbert, MD

• Oral and Maxillofacial Surgery (Dentist) in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.