Frank Carotenuto

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DI013793 Issued in NJ

Practice address

16 W Grant Ave
Roselle Park, NJ 07204-1903

Phone

(908) 241-0100

NPI assigned

Jul 19, 2006

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1093734014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 W GRANT AVE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W GRANT AVE",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041903",
            "telephone_number": "908-241-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROTENUTO",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI013793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester Bruce Burman, D.D.S.
• Heather Burnett, LCSW
• Josephine Caggia, DO
• Gravianna Cajuste
• Brenda Hocamis Calinawan
• Carroll Health and Wellness
• Oscar Castillo, R N
• Center for Vascular Disorders, P.a.
• Kara Nicole Churylo, PA-C
• Nicola W Cicchetti, D.M.D.

• Oral and Maxillofacial Surgery (Dentist) in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.