Montville Orthodontic Associates

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13056 Issued in NJ

Legal business name

MONTVILLE ORTHODONTIC ASSOCIATES

Practice address

170 Changebridge Rd
Unit C 5-2
Montville, NJ 07045-9115

Phone

(973) 227-1132

Fax

(973) 227-3006

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter John Antonellis, D.M.D.NPI 1851474142

Title

President

Phone

(973) 227-1132

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Peter John Antonellis, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Montville, NJ
  • NPI 1851474142
  NPD (past) Authorized official
• Cary Howard Leizer, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Montville, NJ
  • NPI 1285840124
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1073696373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD",
            "address_2": "UNIT C 5-2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459115",
            "telephone_number": "973-227-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD",
            "address_2": "UNIT C 5-2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459115",
            "telephone_number": "973-227-1132",
            "fax_number": "973-227-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVILLE ORTHODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "ANTONELLIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-227-1132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "13056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montville Dermatology and Laser Center
• Montville Endodontics, LLC
• Montville Family Practice Associates, PA
• Montville Medical, LLC
• Montville Oral Surgery Associates, L.L.C.
• Montville Park Physician Associates
• Montville Pharmacy NJ Corp
• Montville Physical Therapy, PC
• Montville Senior Care, LLC
• Montville Township Board of Education

• Orthodontics and Dentofacial Orthopedics Dentistry in Montville, NJ
• Providers in Montville, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.