NPIMap

Organization Active NPI

Little Falls Family Dental, PA

  • Dentist
  • Woodland Park, NJ
National Provider Identifier
1144457987
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI017432 Issued in NJ
Legal business name
LITTLE FALLS FAMILY DENTAL, PA
Practice address
1680 Route 46
Woodland Park, NJ 07424-1853
Phone
(732) 914-1039
Fax
(732) 914-8472
NPI assigned
Jun 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Stephen Abbaticchio, DDS
Title
Owner
Phone
(856) 848-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22DI017432 NJ Primary

Addresses

Primary practice location

1680 Route 46
Woodland Park, NJ 07424-1853

Mailing address

1680 Route 46
Woodland Park, NJ 07424-1853
Phone (732) 914-1039

National Provider Directory

National Provider Directory

Locations

1540 US Highway 46
Little Falls, NJ 07424
Phone (973) 812-6550

1680 Route 46
Woodland Park, NJ 07424

Practitioners & affiliated clinicians

Practitioners 1

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": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1144457987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 46",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074241853",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 46",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074241853",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE FALLS FAMILY DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "ABBATICCHIO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-848-6006",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.