Organization Active NPI

Masella Family Dental, PC

  • Dental Clinic/Center
  • West Caldwell, NJ
National Provider Identifier
1043685324
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02287800 Issued in NJ
Legal business name
MASELLA FAMILY DENTAL, PC
Practice address
195 Fairfield Ave
Suite 3a
West Caldwell, NJ 07006-6424
Phone
(973) 226-3242
Fax
(973) 228-6169
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Dr. Michael James Masella, D.M.D.NPI 1992923205
Title
Owner
Phone
(973) 226-3242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI02287800 NJ Primary

Addresses

Primary practice location

195 Fairfield Ave
Suite 3a
West Caldwell, NJ 07006-6424

Mailing address

195 Fairfield Ave
Suite 3a
West Caldwell, NJ 07006-6424
Phone (973) 226-3242

National Provider Directory

National Provider Directory

Locations

195 Fairfield Ave
Ste 3A
West Caldwell, NJ 07006
Phone (973) 226-3242

Practitioners & affiliated clinicians

Practitioners 2

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": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1043685324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FAIRFIELD AVE",
            "address_2": "SUITE 3A",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066424",
            "telephone_number": "973-226-3242",
            "fax_number": "973-228-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FAIRFIELD AVE",
            "address_2": "SUITE 3A",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066424",
            "telephone_number": "973-226-3242",
            "fax_number": "973-228-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASELLA FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "MASELLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-226-3242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02287800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.