Vito Menza, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI13067 Issued in NJ

Practice address

776 Amboy Ave
Edison, NJ 08837-3224

Phone

(732) 738-1551

Fax

(732) 738-4430

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184708505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373224",
            "telephone_number": "732-738-1551",
            "fax_number": "732-738-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373224",
            "telephone_number": "732-738-1551",
            "fax_number": "732-738-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENZA",
        "first_name": "VITO",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI13067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menlo Park Medical Group P.a.
• Menlo Park Surgery Center, LLC.
• Pinali Javeri Menon, DDS
• Donna A Mensch
• Tova Mensch, BCBA
• Clifton Mereday Jr., MD
• Michael D Merkin, MD
• Michael S Merolla, MD
• Mark Messer, D.D.S.
• Metro Logistics

• General Practice Dentistry in Edison, NJ
• Providers in Edison, 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 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.