Marissa Bocchiaro, DMD
Individual provider Active NPI General Practice Dentistry · Maywood, NJ
NPI 1104629104 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1104629104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22DI03124100 (NJ)
- Practice address
- 141 W Pleasant Ave
Maywood, NJ 07607-1333 - Phone
- (201) 518-3053
- NPI assigned
- Mar 27, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI03124100 | NJ | Yes |
Addresses
Primary practice location
141 W Pleasant Ave
Maywood, NJ 07607-1333
Mailing address
15-01 Broadway Ste 10F
Fair Lawn, NJ 07410-6026
Other practice location 1
516 Hamburg Tpke Ste 9
Wayne, NJ 07470-2063
Phone (973) 595-1888
Other practice location 2
15-01 Broadway Ste 10F
Fair Lawn, NJ 07410-6026
Phone (201) 791-0130
Other providers in Maywood, NJ
- Jaymie A Barette
- Chelsea Linda Bernal
- Patricia Betty
- Ivan Bilbao-Lavieja
- Anna Blazejowskyj
- Bonleven Healthcare
- Ben Boonstra
- Borough of Maywood
- BTR Home Care LLC
- Brittany Franciska Bucko
All providers in Maywood, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.