Rosa Chaviano-Moran II, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DI15564 Issued in NJ

Practice address

353 Monmouth Rd
West Long Branch, NJ 07764-1285

Phone

(732) 870-8660

NPI assigned

Mar 27, 2007

Sex

Female

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

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

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.

• Stars and Smiles LLC

  • General Practice Dentistry
  • West Long Branch, NJ
  • NPI 1710839048
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114045192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 CHAPEL HILL RD",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077162307",
            "telephone_number": "732-291-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 MONMOUTH RD",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641285",
            "telephone_number": "732-870-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIANO-MORAN",
        "first_name": "ROSA",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI15564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenalyn Canullas
• Robert L Carracino, M.D.
• Thomas Carroll
• Rena Chaiklin, PHARMD
• Elizabeth Chang
• Cheryl Nastasio PC
• Emilie Christine Chinchar, LSW
• Esther J. Choi
• Vanessa Christensen
• Christopher G. Pierson, M.D., LLC

• Dentist in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.