Alexis A Sollaccio, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02047400 Issued in NJ

Practice address

1806 Springfield Ave Ste 2
New Providence, NJ 07974-1005

Phone

(908) 591-2084

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1174080576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 LEES HILL RD",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079205503",
            "telephone_number": "908-591-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SPRINGFIELD AVE STE 2",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741005",
            "telephone_number": "908-591-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLLACCIO",
        "first_name": "ALEXIS",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02047400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Siracuse
• Erin Skotarczak, OT
• Lisamarie Slattery, LPC
• Faith Pauleen Smith, MSW, LSW
• Tara Smith, PH.D
• John Galian Souren III, DPT
• Specialized Speech Services of NJ
• Adrianna Marie Spinelli, APN
• Spring Grove Operator LLC (Spring Grove Rehabilitation and Healthcare Center)
• Sushmita Srivastav, MD

• General Practice Dentistry in New Providence, NJ
• Providers in New Providence, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.