Individual provider Active NPI

Robert N. Rizzi, D.M.D.

  • Dentist
  • Monmouth Junction, NJ
National Provider Identifier
1154530392
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01730001 Issued in NJ
Practice address
4095 Route 1 South
Suite 30
Monmouth Junction, NJ 08852
Phone
(732) 329-8844
Fax
(732) 329-9209
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI01730001 NJ Primary

Addresses

Primary practice location

4095 Route 1 South
Suite 30
Monmouth Junction, NJ 08852

Mailing address

30 Stanford Dr
Kendall Park, NJ 08824-1915
Phone (732) 940-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI01730001NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154530392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STANFORD DR",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241915",
            "telephone_number": "732-940-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 ROUTE 1 SOUTH",
            "address_2": "SUITE 30",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "08852",
            "telephone_number": "732-329-8844",
            "fax_number": "732-329-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZI",
        "first_name": "ROBERT",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01730001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.