Joseph Vito Racanelli, DDS
Individual provider Active NPI General Practice Dentistry · Randolph, NJ
NPI 1205458692 · NPPES record last updated Mar 5, 2026
Key facts
- NPI
- 1205458692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 22D10245400 (NJ)
- Practice address
- 390 NJ-10
03
Randolph, NJ 07869 - Phone
- (973) 361-1198
- NPI assigned
- May 8, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22D10245400 | NJ | MD | General Practice Dentistry |
| 061820-01 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weidenfeld Endodontics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 061820-01 | NY | |
| General Practice Dentistry | 1223G0001X | 22D10245400 | NJ | Yes |
Addresses
Primary practice location
390 NJ-10
03
Randolph, NJ 07869
Mailing address
109 Upper Lakeview Ave
Ringwood, NJ 07456-2831
Phone (845) 325-7760
Other providers in Randolph, NJ
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
- Professional Portable Radiologic Services, Inc.
- Derek Protasiewicz
- Edit Punk
- Shannon Jeanne Radkovich
- Shraddha Raghavan
- Nishan George Rajaratnam
- Melissa Randazzo
- Randolph Center for Oral and Maxillofacial Surgery, LLC
All providers in Randolph, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.