NPIMap

Organization Active NPI

Manahawkin Family Dental P.a.

  • General Practice Dentistry
  • Manahawkin, NJ
National Provider Identifier
1013056936
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI017432 Issued in NJ
Legal business name
MANAHAWKIN FAMILY DENTAL P.A.
Practice address
1616 Route 72 W
3Rd Floor
Manahawkin, NJ 08050-5131
Phone
(609) 978-8704
Fax
(609) 978-8705
NPI assigned
Feb 6, 2007
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
(610) 259-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22DI017432 NJ Primary

Addresses

Primary practice location

1616 Route 72 W
3Rd Floor
Manahawkin, NJ 08050-5131

Mailing address

1616 Route 72 W
3Rd Floor
Manahawkin, NJ 08050-5131
Phone (609) 978-8704

National Provider Directory

National Provider Directory

Locations

1616 Route 72 W
Ste 3
Manahawkin, NJ 08050
Phone (609) 978-8704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1013056936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 ROUTE 72 W",
            "address_2": "3RD FLOOR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080505131",
            "telephone_number": "609-978-8704",
            "fax_number": "609-978-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 ROUTE 72 W",
            "address_2": "3RD FLOOR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080505131",
            "telephone_number": "609-978-8704",
            "fax_number": "609-978-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAHAWKIN FAMILY DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "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": "610-259-1100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, 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.