Andrew Michael Maimone, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02930000 Issued in NJ

Practice address

10 S Main St
Mullica Hill, NJ 08062-9401

Phone

(856) 223-1945

Fax

(856) 223-1947

NPI assigned

Sep 13, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New Town Dental

  • Dental Clinic/Center
  • Mullica Hill, NJ
  • NPI 1558159574
  NPD
• Mansfield Family Dentistry,PA

  • General Practice Dentistry
  • Columbus, NJ
  • NPI 1730221862
  NPD (past)

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1063134476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BONNIE LN",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052402",
            "telephone_number": "609-915-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S MAIN ST",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629401",
            "telephone_number": "856-223-1945",
            "fax_number": "856-223-1947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23659 Columbus Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NJ",
            "postal_code": "080221980",
            "country_code": "US",
            "telephone_number": "609-298-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIMONE",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02930000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Lopez, FNP-BC
• David Lynch, MD
• Kristen Lynch, PT, DPT
• Megan Macdonald, PT DPT
• Nicole Mahan
• Main Street Dental - Mullica Hill
• Joshua Donald Mairose
• Samy Y Malak
• Heather M Malatesta
• Pooja Malik, MD

• Dentist in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.