NPIMap

Organization Active NPI

P John Marcucci DDS PC

  • Dentist
  • Vineland, NJ
National Provider Identifier
1205944733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI01342700 Issued in NJ
Legal business name
P JOHN MARCUCCI DDS PC
Practice address
556 North Harding Highway
Vineland, NJ 08360-8713
Phone
(856) 697-2440
Fax
(856) 697-3770
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul John Marcucci Jr., DDSNPI 1134461015
Title
Owner President Dentist
Phone
(856) 697-2440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DI01342700 NJ Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS020230L PA

Addresses

Primary practice location

556 North Harding Highway
Vineland, NJ 08360-8713

Mailing address

556 North Harding Highway
Vineland, NJ 08360-8713
Phone (856) 697-2440

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205944733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 NORTH HARDING HIGHWAY",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608713",
            "telephone_number": "856-697-2440",
            "fax_number": "856-697-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 NORTH HARDING HIGHWAY",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608713",
            "telephone_number": "856-697-2440",
            "fax_number": "856-697-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P JOHN MARCUCCI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCUCCI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER  PRESIDENT  DENTIST",
        "authorized_official_telephone_number": "856-697-2440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI01342700",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020230L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.