Individual provider Active NPI

Richard Peter Charmoy, DMD

  • General Practice Dentistry
  • Somerville, NJ
National Provider Identifier
1033270152
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI15160 Issued in NJ
Practice address
78 East Main Street
Somerville, NJ 08876-1809
Phone
(908) 722-9222
Fax
(908) 231-0334
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI15160 NJ Primary

Addresses

Primary practice location

78 East Main Street
Somerville, NJ 08876-1809

Mailing address

78 East Main Street
Somerville, NJ 08876-1809
Phone (908) 722-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110002057 NJ Order and Referring Only - DentistPractitioner - Dentist 7113188582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI15160NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard P Charmoy DMD LLC CurrentSince Jul 1, 2004 Accepting new patients

Locations

78 E Main St
Somerville, NJ 08876
Phone (908) 722-9222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1033270152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 EAST MAIN STREET",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761809",
            "telephone_number": "908-722-9222",
            "fax_number": "908-231-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 EAST MAIN STREET",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761809",
            "telephone_number": "908-722-9222",
            "fax_number": "908-231-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARMOY",
        "first_name": "RICHARD",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI15160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.