Active NPI
Egg Harbor Family Dental, PA
- Dentist
- Egg Harbor Township, NJ
National Provider Identifier
1104880863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- EGG HARBOR FAMILY DENTAL, PA
- Practice address
- 3003 English Creek Ave
D-11
Egg Harbor Township, NJ 08234-4863 - Phone
- (609) 484-5996
- NPI assigned
- Apr 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Abbaticchio, DDS
- Title
- Owner
- Phone
- (732) 553-9393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
3003 English Creek Ave
D-11
Egg Harbor Township, NJ 08234-4863
Mailing address
16 Washington St
Toms River, NJ 08753-7643
Phone (732) 914-1039
National Provider Directory
National Provider DirectoryLocations
3003 English Creek Ave
Ste D11
Egg Harbor Township, NJ 08234
Phone (609) 484-5996
3003 English Creek Ave
Ste D1
Egg Harbor Twp, NJ 08234
Phone (609) 484-5996
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Absecon, NJ
- NPI 1467072595
-
- General Practice Dentistry
- Egg Harbor Township, NJ
- NPI 1780641654
-
- Dentist
- Manahawkin, NJ
- NPI 1619224565
-
- Dentist
- Egg Harbor TWP, NJ
- NPI 1518541135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550620800000",
"number": "1104880863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 WASHINGTON ST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087537643",
"telephone_number": "732-914-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 ENGLISH CREEK AVE",
"address_2": "D-11",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082344863",
"telephone_number": "609-484-5996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EGG HARBOR FAMILY DENTAL, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2019-02-20",
"status": "A",
"authorized_official_last_name": "ABBATICCHIO",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-553-9393",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.