NPIMap

Organization Active NPI

Hazlet Family Dental

  • Dentist
  • Hazlet, NJ
National Provider Identifier
1174509871
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HAZLET FAMILY DENTAL
Practice address
3034 Route 35
Hazlet, NJ 07730-1505
Phone
(732) 264-8004
Fax
(732) 264-8009
NPI assigned
Dec 15, 2005
Last updated
Feb 20, 2019By the provider in NPPES
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) 825-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3034 Route 35
Hazlet, NJ 07730-1505

Mailing address

16 Washington St
Toms River, NJ 08753-7643
Phone (732) 914-1039

National Provider Directory

National Provider Directory

Locations

3034 State Route 35
Hazlet, NJ 07730
Phone (201) 661-4665

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1174509871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WASHINGTON ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537643",
            "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": "3034 ROUTE 35",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301505",
            "telephone_number": "732-264-8004",
            "fax_number": "732-264-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLET FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "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": "856-825-2111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, 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.