Active NPI
Gerri Illiano
- Dentist
- Bedminster, NJ
National Provider Identifier
1073965869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02672900
- Practice address
- 2435 Lamington Rd Unit 112
Bedminster, NJ 07921-2998 - Phone
- (908) 891-4040
- Fax
- (908) 891-4723
- NPI assigned
- Jul 6, 2016
- Last updated
- Mar 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02672900 | NJ | Primary |
| General Practice Dentistry | 1223G0001X | 059663-1 | NY |
Addresses
Primary practice location
2435 Lamington Rd Unit 112
Bedminster, NJ 07921-2998
Mailing address
2435 Lamington Rd Unit 112
Bedminster, NJ 07921-2998
Phone (908) 891-4040
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 |
|---|---|---|---|
| 22DI02672900 | NJ | MD | Dentist |
| 059663-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1073965869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 LAMINGTON RD UNIT 112",
"city": "BEDMINSTER",
"state": "NJ",
"postal_code": "079212998",
"telephone_number": "908-891-4040",
"fax_number": "908-891-4723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 LAMINGTON RD UNIT 112",
"city": "BEDMINSTER",
"state": "NJ",
"postal_code": "079212998",
"telephone_number": "908-891-4040",
"fax_number": "908-891-4723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILLIANO",
"first_name": "GERRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02672900",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059663-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedminster, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.