NPIMap

Organization Active NPI

Domenic Monaco D.M.D., P.a.

  • General Practice Dentistry
  • Fanwood, NJ
National Provider Identifier
1114148269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI017657 Issued in NJ
Legal business name
DOMENIC MONACO D.M.D., P.A.
Practice address
346 South Ave Ste 7
Fanwood, NJ 07023-1356
Phone
(908) 889-2020
Fax
(908) 889-8411
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Domenic Monaco, DMDNPI 1225259138
Title
President
Phone
(908) 889-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI017657 NJ Primary

Addresses

Primary practice location

346 South Ave Ste 7
Fanwood, NJ 07023-1356

Mailing address

346 South Ave Ste 7
Fanwood, NJ 07023-1356
Phone (908) 889-2020

National Provider Directory

National Provider Directory

Locations

346 South Ave
Ste 7
Fanwood, NJ 07023
Phone (908) 889-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114148269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 SOUTH AVE STE 7",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231356",
            "telephone_number": "908-889-2020",
            "fax_number": "908-889-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 SOUTH AVE STE 7",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231356",
            "telephone_number": "908-889-2020",
            "fax_number": "908-889-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMENIC MONACO D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONACO",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-889-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI017657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.