Edward Charles Defabio, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01125000 Issued in NJ

Practice address

440 NJ-34
Colts Neck, NJ 07722-1556

Phone

(732) 780-7790

Fax

(732) 780-4539

NPI assigned

Jul 10, 2006

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1205860632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 NJ-34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221556",
            "telephone_number": "732-780-7790",
            "fax_number": "732-780-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 NJ-34",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221556",
            "telephone_number": "732-780-7790",
            "fax_number": "732-780-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFABIO",
        "first_name": "EDWARD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01125000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolores S Cutler
• Augusta D'Amico, LCSW
• Dana Spada Consulting (Dr. Dana Spada Psychotherapy)
• Aubrey Daniels, LPC
• Samantha Dean, MM, MT-BC
• Erica C. Defabio, DMD
• Christinna Delgenio, PA-C
• Susan Devlin
• Brianna Morgan Dimaio, LCSW
• Daniel Joseph Dobrowolski, LAT, ATC

• General Practice Dentistry in Colts Neck, NJ
• Providers in Colts Neck, 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 Feb 18, 2022; 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.