Active NPI
Sara M Fonseca
- Endodontics
- Moorestown, NJ
National Provider Identifier
1073677639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 22D101499300
- Practice address
- 509 S Lenola Rd
Blason Plaza -BLDG 3a
Moorestown, NJ 08057-1561 - Phone
- (856) 778-5533
- Fax
- (856) 778-3080
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 22D101499300 | NJ | Primary |
Addresses
Primary practice location
509 S Lenola Rd
Blason Plaza -BLDG 3a
Moorestown, NJ 08057-1561
Mailing address
509 S Lenola Rd
Blason Plaza -BLDG 3a
Moorestown, NJ 08057-1561
Phone (856) 778-5533
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D101499300 | NJ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073677639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 S LENOLA RD",
"address_2": "BLASON PLAZA -BLDG 3A",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080571561",
"telephone_number": "856-778-5533",
"fax_number": "856-778-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 S LENOLA RD",
"address_2": "BLASON PLAZA -BLDG 3A",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080571561",
"telephone_number": "856-778-5533",
"fax_number": "856-778-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA",
"first_name": "SARA",
"middle_name": "M",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NJ",
"license": "22D101499300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.