Anthony Thomas Delzotto, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02873800 Issued in NJ

Practice address

203 Bellevue Ave
Upper Montclair, NJ 07043-3800

Phone

(973) 744-5466

NPI assigned

May 7, 2021

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McKeever Dental Care

  • Dentist
  • Pompton Plains, NJ
  • NPI 1285026872
  NPD (past)

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1083298962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 POND RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777706",
            "telephone_number": "201-286-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BELLEVUE AVE",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070433800",
            "telephone_number": "973-744-5466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 Route 23",
            "address_purpose": "LOCATION",
            "city": "Pompton Plains",
            "state": "NJ",
            "postal_code": "074441047",
            "country_code": "US",
            "telephone_number": "973-839-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELZOTTO",
        "first_name": "ANTHONY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02873800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Dana
• David Ferguson, DDS, PA (Ferguson Dental Associates)
• Maria Rosario De Leon, D.D.S.
• Karyn Debalfo-Ambrosio, LCSW
• Janice Ellen Delorenzo, LCSW
• Ernest Joseph Desalvo, M.D.
• Eileen Reilly Diaz, P.T., R.N.
• Peter Diskin, MSW
• Mihaela Dranoff, PHD
• Randi Marie Elia, LPC

• General Practice Dentistry in Upper Montclair, NJ
• Providers in Upper Montclair, 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 Nov 20, 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.

Verify at the official NPI Registry.