Individual provider Active NPI

Deanne Confalone, DMD

  • Dentist
  • Englewood Cliffs, NJ
National Provider Identifier
1124360730
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
021352 Issued in NJ
Practice address
175 Pershing Rd
Englewood Cliffs, NJ 07632-1914
Phone
(201) 970-8171
NPI assigned
Mar 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 021352 NJ Primary

Addresses

Primary practice location

175 Pershing Rd
Englewood Cliffs, NJ 07632-1914

Mailing address

175 Pershing Rd
Englewood Cliffs, NJ 07632-1914
Phone (201) 970-8171

Other practice location 1

2A Auer Ct
East Brunswick, NJ 08816-5687
Phone (732) 651-1818

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160226000098 NJ Order and Referring Only - DentistPractitioner - Dentist 2466757679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021352NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Deanne Confalone DMD PC CurrentSince May 16, 2021 Accepting new patients
Roger Lerner DMD LLC Past Accepting new patients

Organizations & group practices 2

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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1124360730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PERSHING RD",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321914",
            "telephone_number": "201-970-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PERSHING RD",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321914",
            "telephone_number": "201-970-8171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2A Auer Ct",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088165687",
            "country_code": "US",
            "telephone_number": "732-651-1818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONFALONE",
        "first_name": "DEANNE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "021352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

Verify at the official NPI Registry.