John Petrocelli, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI00811700 Issued in NJ

Practice address

120 Branch Rd
Bridgewater, NJ 08807-2115

Phone

(908) 218-1788

NPI assigned

May 22, 2019

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 and National Provider Directory roles.

• John P. Petrocelli, DMD, PA

  • General Practice Dentistry
  • Bridgewater, NJ
  • NPI 1407927528
  NPD (past) Authorized official

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1093372286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRANCH RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072115",
            "telephone_number": "908-218-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BRANCH RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072115",
            "telephone_number": "908-218-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROCELLI",
        "first_name": "JOHN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI00811700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Perone, CFT
• Naomi Persaud, LCSW
• Perspectives Counseling Group
• Brittany Leigh Peterson, MS, RDN, CLC
• Donna Terese Petit-Homme, LSW
• Kristinne Petrolis, D.P.T
• Marissa Petronzio
• Robert Jones Pharo Jr., OTR
• Philip Newman, D.P.M.
• Susan Phung, M.D.

• General Practice Dentistry in Bridgewater, NJ
• Providers in Bridgewater, 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 May 22, 2019; 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.