Carmen Cicalese, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DI02261600 Issued in NJ

Practice address

57 W End Ave
Somerville, NJ 08876-1828

Phone

(908) 725-6675

Fax

(908) 725-6854

NPI assigned

Jul 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid Jersey Endodontic Group

  • Endodontics
  • Somerville, NJ
  • NPI 1932209244
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1144429390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MICHAEL LN",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363734",
            "telephone_number": "908-725-6670",
            "fax_number": "908-725-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W END AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088761828",
            "telephone_number": "908-725-6675",
            "fax_number": "908-725-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICALESE",
        "first_name": "CARMEN",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "DI02261600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tat Fai Chiang, DMD
• Thomas A Chiodo, DDS
• Margaret J. Chou, P.A.
• Pratik Chowdhury, MD
• Kelly J Ciarletta, MA, LAC
• Maureen Clancy, LCSW
• Crescent L Clarkson, MSW
• Meaghan Clifford
• Jacqueline Anne Cohen
• Mark Edward Coleman, D.M.D.

• Endodontics in Somerville, NJ
• Providers in Somerville, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.