Joseph Di Benedetto, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17820 Issued in NJ

Practice address

314 Willow Dr
Little Silver, NJ 07739-1542

Phone

(732) 219-6744

Fax

(732) 219-6765

NPI assigned

Jun 24, 2005

Reactivated

Mar 21, 2006

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• JDB Inc

  • General Practice Dentistry
  • Little Silver, NJ
  • NPI 1215941299
  NPD (past) Authorized official

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043216930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 WILLOW DRIVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391542",
            "telephone_number": "732-219-6744",
            "fax_number": "732-219-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 WILLOW DR",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391542",
            "telephone_number": "732-219-6744",
            "fax_number": "732-219-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI BENEDETTO",
        "first_name": "JOSEPH",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "17820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah C. Rose, D.C., P.C
• Robert Dejonge III, PHARM.D
• Alexa Desantis, PT, DPT
• Devito Internal Medicine and Pediatrics LLC
• Marc J Devito, M.D.
• Diabetes & Thyroid Endocrinology Center PC
• Andrew Joseph Dibenedetto, DMD
• Jacqueline Diez, MS CCC-SLP
• Lyza E Dizon-Roosa, PHARM D
• Jennifer L Dowd, DPM

• General Practice Dentistry in Little Silver, NJ
• Providers in Little Silver, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.