NPIMap

Organization Active NPI

Vincent M. Immordino, DMD, PA

  • General Practice Dentistry
  • Hamilton Square, NJ
National Provider Identifier
1134219454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI019357 Issued in NJ
Legal business name
VINCENT M. IMMORDINO, DMD, PA
Practice address
2273 Highway 33
Suite 201
Hamilton Square, NJ 08690-1747
Phone
(609) 588-0666
Fax
(609) 588-0421
NPI assigned
Oct 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Vincent M Immordino, DMDNPI 1326138645
Title
President
Phone
(609) 588-0666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI019357 NJ Primary

Addresses

Primary practice location

2273 Highway 33
Suite 201
Hamilton Square, NJ 08690-1747

Mailing address

2273 Highway 33
Suite 201
Hamilton Square, NJ 08690-1747
Phone (609) 588-0666

National Provider Directory

National Provider Directory

Locations

2273 Route 33
Ste 201
Hamilton Square, NJ 08690
Phone (609) 588-0666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134219454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 HIGHWAY 33",
            "address_2": "SUITE 201",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086901747",
            "telephone_number": "609-588-0666",
            "fax_number": "609-588-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 HIGHWAY 33",
            "address_2": "SUITE 201",
            "city": "HAMILTON SQUARE",
            "state": "NJ",
            "postal_code": "086901747",
            "telephone_number": "609-588-0666",
            "fax_number": "609-588-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT M. IMMORDINO, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMMORDINO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-588-0666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI019357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton Square, 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.