Carla A McGruder, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI19328 Issued in NJ

Practice address

357 White Horse Pike
Atco, NJ 08004-2228

Phone

(856) 809-0707

Fax

(856) 809-0733

NPI assigned

Nov 17, 2006

Last updated

May 1, 2025By the provider in NPPES

Sex

Female

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Boston Univ Goldman School of Dental Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1225102718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 WHITE HORSE PIKE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042228",
            "telephone_number": "856-809-0707",
            "fax_number": "856-809-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 WHITE HORSE PIKE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042228",
            "telephone_number": "856-809-0707",
            "fax_number": "856-809-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRUDER",
        "first_name": "CARLA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI19328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Loftus Jr., MPT
• Mildred Magsanoc, PT
• Andrew Mallon, DPT
• Markrmenaquale,Inc
• Emily Anne Martin
• Amy S Miller
• Ashley Gale Miller, MPT, CSCS
• Janet Mitchell
• Robert David Mlkvy Jr., MSPT
• Nicholas M Moore, PSYD

• General Practice Dentistry in Atco, NJ
• Providers in Atco, 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 May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.