Individual provider Active NPI

Fred J. Vecchione, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hamilton, NJ
National Provider Identifier
1114088358
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI01486600 Issued in NJ
Practice address
1 Nami Lane
Suite 2
Hamilton, NJ 08619
Phone
(609) 520-0046
Fax
(609) 838-0117
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI01486600 NJ Primary

Addresses

Primary practice location

1 Nami Lane
Suite 2
Hamilton, NJ 08619

Mailing address

1 Nami Lane
Suite 2
Hamilton, NJ 08619
Phone (609) 520-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 5, 2017 through May 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fred J. Vecchione , D.D.S., P.C. Oral and Maxillofacial Surgery CurrentSince Feb 25, 2012 Accepting new patients

Locations

1 Nami Ln
Ste 2
Hamilton, NJ 08619
Phone (609) 520-0046

3371 Route 1
Ste 112
Lawrenceville, NJ 08648
Phone (609) 520-0046

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1114088358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NAMI LANE",
            "address_2": "SUITE 2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-520-0046",
            "fax_number": "609-838-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NAMI LANE",
            "address_2": "SUITE 2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-520-0046",
            "fax_number": "609-838-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECCHIONE",
        "first_name": "FRED",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI01486600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.