NPIMap

Organization Active NPI

Shore Family Dental

  • Dentist
  • Toms River, NJ
National Provider Identifier
1003892795
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHORE FAMILY DENTAL
Practice address
1358 Hooper Ave
Toms River, NJ 08753-2882
Phone
(732) 914-1039
Fax
(732) 914-8472
NPI assigned
Dec 15, 2005
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Stephen Abbaticchio, DDS
Title
Owner
Phone
(856) 740-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1358 Hooper Ave
Toms River, NJ 08753-2882

Mailing address

16 Washington St
Toms River, NJ 08753-7643
Phone (732) 914-1039

National Provider Directory

National Provider Directory

Locations

1358 Hooper Ave
Toms River, NJ 08753
Phone (732) 349-5632

1358 Hooper Ave
Ste M6
Toms River, NJ 08753

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1003892795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WASHINGTON ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537643",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532882",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "ABBATICCHIO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-740-5009",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.