Anthony M Pallotta DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

22D100828600 Issued in NJ

Legal business name

ANTHONY M PALLOTTA DDS PA

Practice address

164 Warburton Avenue
Hawthorne, NJ 07506

Phone

(973) 427-4201

Fax

(973) 427-3480

NPI assigned

Feb 2, 2007

Last updated

Apr 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam M. Rauzman, DDS

Title

Dentist

Phone

(973) 427-4201

Specialties & licenses 2

Addresses

Practitioners 2

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.

• Anthony Michael Pallotta, DDS PA

  • Dentist
  • Hawthorne, NJ
  • NPI 1407994247
  NPD (past)
• Shalini Tewary, DMD

  • Dentist
  • Hawthorne, NJ
  • NPI 1184762924
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1144368994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WARBURTON AVENUE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "07506",
            "telephone_number": "973-427-4201",
            "fax_number": "973-427-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WARBURTON AVENUE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "07506",
            "telephone_number": "973-427-4201",
            "fax_number": "973-427-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY M PALLOTTA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "RAUZMAN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-427-4201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102250101",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D100828600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Ann Avent, PCA CHHA

• Dentist in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.