Individual provider Active NPI

Joseph P Trovato, DMD

  • General Practice Dentistry
  • Kearny, NJ
National Provider Identifier
1053423558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01744000 Issued in NJ
Practice address
445 Belgrove Dr
Kearny, NJ 07032-1657
Phone
(201) 991-0177
Fax
(201) 991-1928
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 22DI01744000 NJ Primary

Addresses

Primary practice location

445 Belgrove Dr
Kearny, NJ 07032-1657

Mailing address

445 Belgrove Dr
Kearny, NJ 07032-1657
Phone (201) 991-0177

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
I20160705000051 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7517259070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053423558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BELGROVE DR",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070321657",
            "telephone_number": "201-991-0177",
            "fax_number": "201-991-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BELGROVE DR",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070321657",
            "telephone_number": "201-991-0177",
            "fax_number": "201-991-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROVATO",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01744000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

Verify at the official NPI Registry.