Individual provider Active NPI

Joseph R. Caravano, D.M.D.

  • General Practice Dentistry
  • Randolph, NE
National Provider Identifier
1164583316
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23047 Issued in NJ
Practice address
390 Route 10 West
Randolph, NE 07869
Phone
(973) 361-1198
Fax
(973) 361-3221
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

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
23047NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Cosmetic Dentistry of Randolph, LLC General Practice Current Accepting new patients

Locations

390 State Route 10
Randolph, NJ 07869
Phone (973) 366-6303

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23047 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

390 Route 10 West
Randolph, NE 07869

Mailing address

390 Route 10 W
Randolph, NJ 07869-2141
Phone (973) 361-1198

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2022.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1164583316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 ROUTE 10 W",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692141",
            "telephone_number": "973-361-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 ROUTE 10 WEST",
            "city": "RANDOLPH",
            "state": "NE",
            "postal_code": "07869",
            "telephone_number": "973-361-1198",
            "fax_number": "973-361-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAVANO",
        "first_name": "JOSEPH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "23047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.