David Degiralamo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02813100 Issued in NJ

Practice address

100 Village Green Shopping Ctr
Budd Lake, NJ 07828-1706

Phone

(973) 347-8110

NPI assigned

Jan 14, 2021

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Jerome S Cohen DMD Steven H Schwartz DMD PA

  • Dentist
  • Budd Lake, NJ
  • NPI 1326068925
  NPD (past)

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1093304990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GREEN SHOPPING CTR",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281706",
            "telephone_number": "973-347-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GREEN SHOPPING CTR",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281706",
            "telephone_number": "973-347-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Midvale Rd",
            "address_purpose": "LOCATION",
            "city": "Mountain Lakes",
            "state": "NJ",
            "postal_code": "070461354",
            "country_code": "US",
            "telephone_number": "973-240-9451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 State Route 31 S",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NJ",
            "postal_code": "078824086",
            "country_code": "US",
            "telephone_number": "908-689-5129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGIRALAMO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02813100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Budd Lake, NJ
• Providers in Budd Lake, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.