Garden State Smiles of Brick

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9440 Issued in NJ

Legal business name

GARDEN STATE SMILES OF BRICK

Practice address

525 Route 70 E
Suite 1a
Brick, NJ 08723

Phone

(732) 477-5770

Fax

(732) 477-3433

NPI assigned

Jul 29, 2016

Organization subpart

No

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

Authorized official

Name

Jessica Petrolito

Title

Office MGR

Phone

(732) 477-5770

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Raymond Della Rosa, D.M.D.

  • General Practice Dentistry
  • Brick, NJ
  • NPI 1447264924
  NPD (past)

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1073066700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 70",
            "address_2": "SUITE 1A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234022",
            "telephone_number": "732-477-5770",
            "fax_number": "732-477-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 70 E",
            "address_2": "SUITE 1A",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08723",
            "telephone_number": "732-477-5770",
            "fax_number": "732-477-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE SMILES OF BRICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "PETROLITO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "732-477-5770"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "9440",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "9434",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "21211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Ganz, DO
• Yu Yan Gao
• Jennifer Garcia, LCSW
• Vanessa Garcia
• Garden State Pain and Radiology Center 2, PC
• Garden State Smiles of Brick
• Emily Morgan Garelick
• Mary L. Garner, PT, DPT
• William Garry, PA-C
• Randi Gartner, DPT

• General Practice Dentistry in Brick, NJ
• Providers in Brick, 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 29, 2016; 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.