Frederick Robert Darcy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI03039400 Issued in NJ

Practice address

87 Beaver Ave
Clinton, NJ 08809-1085

Phone

(908) 437-6000

NPI assigned

Jun 6, 2024

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Male

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1205678778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PETTICOAT LN",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334109",
            "telephone_number": "908-310-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 BEAVER AVE",
            "city": "CLINTON",
            "state": "NJ",
            "postal_code": "088091085",
            "telephone_number": "908-437-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Moebus Pl",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NJ",
            "postal_code": "088091023",
            "country_code": "US",
            "telephone_number": "908-730-6432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARCY",
        "first_name": "FREDERICK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03039400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Clinton, NJ
• Providers in Clinton, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.