Organization Active NPI

DSM NJ PC

  • General Practice Dentistry
  • Florham Park, NJ
National Provider Identifier
1063375848
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DSM NJ PC
Practice address
131 Columbia Tpke Ste 2a
Florham Park, NJ 07932-2181
Phone
(973) 377-5117
NPI assigned
Dec 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Dr. Charles Matarazzo, DMDNPI 1780067322
Title
Owner
Phone
(973) 377-5117

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

131 Columbia Tpke Ste 2a
Florham Park, NJ 07932-2181

Mailing address

131 Columbia Tpke Ste 2a
Florham Park, NJ 07932-2181
Phone (973) 377-5117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260605002843 NJ DME Supplier - Oral Surgery - Dentist 5395216758 Practice locations: Florham Park, NJ

National Provider Directory

National Provider Directory

Locations

131 Columbia Tpke
Ste 2A
Florham Park, NJ 07932
Phone (973) 377-5117

Practitioners & affiliated clinicians

Practitioners 1

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": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1063375848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COLUMBIA TPKE STE 2A",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322181",
            "telephone_number": "973-377-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COLUMBIA TPKE STE 2A",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322181",
            "telephone_number": "973-377-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSM NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "MATARAZZO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-377-5117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.