Active NPI
William Levatino, D.M.D.
- General Practice Dentistry
- Pompton Plains, NJ
National Provider Identifier
1073621207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10930
- Practice address
- 22 Jackson Ave
Suite a
Pompton Plains, NJ 07444-1447 - Phone
- (973) 839-4122
- Fax
- (973) 839-3126
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10930 | NJ | Primary |
Addresses
Primary practice location
22 Jackson Ave
Suite a
Pompton Plains, NJ 07444-1447
Mailing address
22 Jackson Ave
Suite a
Pompton Plains, NJ 07444-1447
Phone (973) 839-4122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10930 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1073621207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 JACKSON AVE",
"address_2": "SUITE A",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074441447",
"telephone_number": "973-839-4122",
"fax_number": "973-839-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 JACKSON AVE",
"address_2": "SUITE A",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074441447",
"telephone_number": "973-839-4122",
"fax_number": "973-839-3126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVATINO",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "10930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompton Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.