NPIMap

Organization Active NPI

Piscataway Family Dental, P.a.

  • Dentist
  • Piscataway, NJ
National Provider Identifier
1184864985
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI017432 Issued in NJ
Legal business name
PISCATAWAY FAMILY DENTAL, P.A.
Practice address
1310 Centennial Avnue
Unit 11
Piscataway, NJ 08854
Phone
(732) 914-1039
Fax
(732) 914-8472
NPI assigned
Mar 6, 2009
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
(609) 978-8704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22DI017432 NJ Primary

Addresses

Primary practice location

1310 Centennial Avnue
Unit 11
Piscataway, NJ 08854

Mailing address

1310 Centennial Avnue
Unit 11
Piscataway, NJ 08854
Phone (732) 914-1039

National Provider Directory

National Provider Directory

Locations

1310 Centennial Avnue
Unit 11
Piscataway, NJ 08854

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1184864985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CENTENNIAL AVNUE",
            "address_2": "UNIT 11",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "08854",
            "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": "1310 CENTENNIAL AVNUE",
            "address_2": "UNIT 11",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "08854",
            "telephone_number": "732-914-1039",
            "fax_number": "732-914-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISCATAWAY FAMILY DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "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": "609-978-8704",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI017432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, 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.